Eltabbakh, Gamal H

Eltabbakh, Gamal H is an individual health care provider with primary practice located at 1060 Hinesburg Rd Suite 301, South Burlington VT 05403-7612. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is his primary health care specialty. Eltabbakh, Gamal H can be contacted via phone (802) 859-9500.

Contact Information

Primary practice address
1060 Hinesburg Rd Suite 301 South Burlington VT 05403-7612
Phone: (802) 859-9500
Fax: (802) 859-9944
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 0420009610 Vermont
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 1994931 New York
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 0420009610 Vermont
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 1994931 New York

Profile Details

NPI number 1467448787
LBN Legal business name Eltabbakh, Gamal H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated May 23rd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467448787 NPPES
New York MEDICAID 01760585
New York MEDICAID OVN1692

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