Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GABRIEL L DERSAM, MD
ActiveGABRIEL L DERSAM, MD is a Pediatric Orthopaedic Surgery healthcare provider located in LAFAYETTE, Louisiana. NPI 1487844650 is currently active in the NPPES registry. Verify at CMS.
Pediatric Orthopaedic Surgery · LAFAYETTE, LA
Registration Details
- NPI Number
- 1487844650
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 25, 2007 (19.064716219428 yrs)
- Last Updated
- Dec 19, 2022
- Licenses
-
103060 (MN)036136684 (IL)MD.201862 (LA)
Practice Information
- Address
-
4704 AMBASSADOR CAFFERY PKWY FL 1LAFAYETTE, LA, 705086908Browse LA providers · Browse ZIP 70508
- Phone
- 3374705920
- Fax
- 8854316868
- Primary Specialty
-
Pediatric Orthopaedic Surgery
207XP3100X
- Additional Specialty
- Pediatric Orthopaedic Surgery
- Additional Specialty
- Pediatric Orthopaedic Surgery
Other Pediatric Orthopaedic Surgery Providers in LAFAYETTE, LA
| Name | Credential | NPI |
|---|---|---|
| JAMES P GUTHEIL | MD | 1497790414 |
| RYAN PATRICK FARMER | MD | 1669715322 |
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.