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:
Health care specialties
| Specialty | Code | License # | 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 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467448787 | NPPES |
| New York | MEDICAID | 01760585 | |
| New York | MEDICAID | OVN1692 |
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