Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 036116676 | IL |
N | 208600000X | Surgeon | 036116676 | IL |
Y | 208200000X | Surgeon | 322549 | LA |
Y | 208600000X | Surgeon | 322549 | LA |
N | 208200000X | Surgeon | 42464 | AZ |
N | 208600000X | Surgeon | 42464 | AZ |
NPI | 1003916883 |
---|---|
Provider Name | Dr. Carlos Galvani |
First Address | New Orleans, LA 70112-2632 |
Second Address | New Orleans, LA 70112-2600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 01/06/2020 |