Gambello, Michael John

Gambello, Michael John is an individual health care provider with primary practice located at 2165 N Decatur Rd , Decatur GA 30033-5307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), which is considered as his primary health care specialty. Gambello, Michael John can be contacted via phone (404) 778-8570.

Contact Information

Primary practice address
2165 N Decatur Rd Decatur GA 30033-5307
Fax: (404) 778-8562
Website:

Health care specialties

Profile Details

NPI number 1386671394
LBN Legal business name Gambello, Michael John
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Apr 24th, 2014 - about 10 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 1386671394 NPPES
Georgia MEDICAID 003122764A
Georgia Other 147519602
Georgia MEDICAID 147519602
Georgia Other 8135N6

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