Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GLENN BLAISE GATIPON, MD PHD MBA
Active Sole ProprietorDR. GLENN BLAISE GATIPON, MD PHD MBA is a Interventional Cardiology healthcare provider located in KENNESAW, Georgia. NPI 1306287750 is currently active in the NPPES registry. Verify at CMS.
Interventional Cardiology · KENNESAW, GA
Registration Details
- NPI Number
- 1306287750
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 15, 2013 (13.043681498301 yrs)
- Last Updated
- Apr 29, 2020
- License
-
23962 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
888 OLD MOUNTAIN RD NWKENNESAW, GA, 301523843Browse GA providers · Browse ZIP 30152
- Phone
- 7704260102
- Primary Specialty
-
Interventional Cardiology
207RB0002X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.