Gamboa Velez, Ivan J

Gamboa Velez, Ivan J is an individual health care provider with primary practice located at 5428 Odonovan Dr Ste C , Baton Rouge LA 70808-4387. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Gamboa Velez, Ivan J can be contacted via phone (225) 300-1076.

Contact Information

Primary practice address
5428 Odonovan Dr Ste C Baton Rouge LA 70808-4387
Phone: (225) 300-1076
Fax: (225) 300-1080
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125059415 Illinois
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 301598 Louisiana

Profile Details

NPI number 1366739468
LBN Legal business name Gamboa Velez, Ivan J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2011
Last updated Jun 30th, 2022 - about 2 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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