Search › Louisiana › 207RE0101X

Ivan Gamboa Velez, MD

NPI 1366739468 · on the registry since 2011

Practice

Address
5428 Odonovan Dr Ste C
Baton Rouge, LA 70808
Phone
(225) 300-1076
Fax
(225) 300-1080
Organisation at this address
Foot And Ankle Institute
Starbright Pediatric Urgent Care
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
207RE0101X
207RE0101X
Also registered as
207R00000X
Licence states on file
IL, LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-06-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana