| Doctor Name: | GILBERTO SOSTRE |
| NPI Number: | 1194836759 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 023684 |
| Business Practice Address: | 1120 15th Street Department Of Radiology Augusta, GA - 309120004 |
| Business Phone Number: | 7067219729 |
| Business Fax Number: | 7067218507 |
| Mailing Address: | 1499 Walton Way, Suite 1400, Provider Enrollment AUGUSTA |
| State: | GA |
| Postal Code: | 309012602 |
| Phone Number: | 7068288401 |
| Fax Number: | |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 03/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 023684 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |