Basic Information
| Provider Information | |||||||||
| NPI: | 1871720011 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GESSEL | ||||||||
| FirstName: | LUKE | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 933 BRADBURY DR SE | ||||||||
| Address2: | SUITE 2222 | ||||||||
| City: | ALBUQUERQUE | ||||||||
| State: | NM | ||||||||
| PostalCode: | 871064374 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5052723120 | ||||||||
| FaxNumber: | 5052728060 | ||||||||
| Practice Location | |||||||||
| Address1: | 1001 MARTIN LUTHER KING AVE NE | ||||||||
| Address2: | SUITE 2222 | ||||||||
| City: | ALBUQUERQUE | ||||||||
| State: | NM | ||||||||
| PostalCode: | 871064713 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5059256000 | ||||||||
| FaxNumber: | 5052726839 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/15/2009 | ||||||||
| LastUpdateDate: | 11/01/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/01/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 40099 | IA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | R-8744 | IA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | MD2014-0886 | NM | N | Allopathic & Osteopathic Physicians | Internal Medicine | 390200000X | NM | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207RG0100X | MD2014-0886 | NM | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
No ID Information.