Individual
DR. AMY GAUDET RABALAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9001 SUMMA AVENUE, BATON ROUGE, LA 70809-3726
(225) 761-5402
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD.200941
LA
207Y00000X
Otolaryngology Physician
Primary
MD.200941
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03332256
—
MS
05
—
1237736
—
LA
Enumeration date
07/30/2007
Last updated
07/29/2021
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