Gboloo, David Kwame Tawiah

Gboloo, David Kwame Tawiah is an individual health care provider with primary practice located at 2524 South Philippe Ave , Gonzales LA 70737. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gboloo, David Kwame Tawiah can be contacted via phone (225) 644-1990.

Contact Information

Primary practice address
2524 South Philippe Ave Gonzales LA 70737
Fax: (225) 644-3264
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 13365R Louisiana

Profile Details

NPI number 1528163326
LBN Legal business name Gboloo, David Kwame Tawiah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated May 26th, 2022 - about 3 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 1528163326 NPPES
Louisiana MEDICAID 1562262

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