Dr. Michael John Gambello
Clinical Genetics (M.D.)
2165 N Decatur Rd
Decatur
, Georgia 30033-5307
Dr. Michael John Gambello
Clinical Genetics (M.D.)
2165 N Decatur Rd
Decatur
, Georgia 30033-5307
(404) 778-8562
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About
Features
Specialties
- Clinical Genetics (M.D.)
Languages spoken
- English
Location
First Address
- Dr. Michael John Gambello
- 2165 N Decatur Rd Emory Clinic Department Of Human Genetics
- Decatur, GA
- Zip : 30033-5307
- Fax : (404) 778-8562
- Phone : (404) 778-8570
Second Address
- Dr. Michael John Gambello
- 2165 N Decatur Rd
- Decatur, GA
- Zip : 30033-5307
- Fax : (404) 778-8562
- Phone : (404) 778-8570
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Is Dr. Michael John Gambello a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207SG0201X | Clinical Genetics (M.D.) | 67568 | GA |
| N | 207SG0201X | Clinical Genetics (M.D.) | L3304 | TX |
National Provider Identifier
| NPI | 1386671394 |
|---|---|
| Provider Name | Dr. Michael John Gambello |
| First Address | Decatur, GA 30033-5307 |
| Second Address | Decatur, GA 30033-5307 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/06/2006 |
| Last Update Date | 24/04/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 003122764A | (05) | GA |
| 147519602 | (05) | TX |
| 147519602 | CSHCN (01) | TN |
| 2021992225 | (02) | GA |
| 8135N6 | BCBS (01) | TX |
| G60741 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.