IndividualActive
Ivan Gamboa Velez, MD
NPI 1366739468 · Endocrinology, Diabetes & Metabolism Physician · Baton Rouge, LA
Provider details
- NPI number
- 1366739468
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 125059415 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
5428 Odonovan Dr Ste C
Baton Rouge, LA 70808-4387
Phone: (225) 300-1076
Fax: (225) 300-1080
Approximate (ZIP-level) locationGet directions
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Registry dates
- Enumerated
- 2011-07-09
- Last updated
- 2022-06-30
- Certified
- 2022-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.