Basic Information
| Provider Information | |||||||||
| NPI: | 1386842490 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GAMBALA | ||||||||
| FirstName: | CECILIA | ||||||||
| MiddleName: | TOLO | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1430 TULANE AVENUE | ||||||||
| Address2: | SL-11 | ||||||||
| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 70112 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5049885216 | ||||||||
| FaxNumber: | 5049881846 | ||||||||
| Practice Location | |||||||||
| Address1: | 1430 TULANE AVE | ||||||||
| Address2: | SL-11 | ||||||||
| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 701122632 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5049885217 | ||||||||
| FaxNumber: | 5049881846 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/10/2007 | ||||||||
| LastUpdateDate: | 04/05/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 036.117815 | IL | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207VM0101X | MD.204933 | LA | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Maternal & Fetal Medicine | 207V00000X | MD.204933 | LA | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.