LEAH GATDULA MD NPI 1740857291

NPI Information

NPI: 1740857291
Provider Name: LEAH GATDULA, MD
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
701 E MARSHALL AVE STE 400
LONGVIEW, TX
ZIP 75601
Phone: (903) 315-5600
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Leah Gatdula, MD is a student in an organized health care education training program in Longview, TX. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Leah Gatdula, MD NPI is 1740857291. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

701 E MARSHALL AVE STE 400
LONGVIEW, TX
ZIP 75601-595
Phone: (903) 315-5600

The enumeration date for this NPI number is 6/4/2021 and was last updated on 10/28/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program		BP10075218	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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