Gabriel L Dersam
Orthopaedic Surgeon Pediatric Orthopaedic Surgeon
4704 Ambassador Caffery Pkwy
Lafayette
, Louisiana 70508-6908
Gabriel L Dersam
Orthopaedic Surgeon Pediatric Orthopaedic Surgeon
4704 Ambassador Caffery Pkwy
Lafayette
, Louisiana 70508-6908
(225) 765-9196
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About
Features
Specialties
- Orthopaedic Surgeon
- Pediatric Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Gabriel L Dersam
- 5959 S Sherwood Forest Blvd
- Baton Rouge, LA
- Zip : 70816-6038
- Fax : (225) 765-9196
- Phone : (225) 526-0002
Second Address
- Gabriel L Dersam
- 4704 Ambassador Caffery Pkwy
- Lafayette, LA
- Zip : 70508-6908
- Fax : (337) 371-3151
- Phone : (337) 371-3102
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FAQs
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Where did Gabriel L Dersam do his fellowship?
Is Gabriel L Dersam board certified?
What type of doctor is Gabriel L Dersam
In what state does Gabriel L Dersam practice in?
Where is Gabriel L Dersam ’s practice located?
What is Gabriel L Dersam ’s gender?
Is Gabriel L Dersam a sole practitioner?
Is Gabriel L Dersam accepting new patients?
What languages does Gabriel L Dersam speak?
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Does Gabriel L Dersam have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | 103060 | MN |
| N | 207XP3100X | Pediatric Orthopaedic Surgeon | 036136684 | IL |
| Y | 207XP3100X | Pediatric Orthopaedic Surgeon | MD.201862 | LA |
National Provider Identifier
| NPI | 1487844650 |
|---|---|
| Provider Name | Gabriel L Dersam |
| First Address | Baton Rouge, LA 70816-6038 |
| Second Address | Lafayette, LA 70508-6908 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/07/2007 |
| Last Update Date | 31/08/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1033553 | (05) | LA |
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.