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NPI Verification

National Provider Identifier: 1366739468

Ivan J Gamboa Velez, MD

Individual Provider

Credentials

Primary Specialty

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

All Specialties (2)

Internal Medicine

Code: 207R00000X

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Primary

Practice Address

5428 ODONOVAN DR STE C

BATON ROUGE, LA 708084387

Phone: 225-300-1076

NPI Enumeration Date

July 9, 2011

NPI Number

1366739468

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry