Individual
DR. WILLIAM PATRICK GAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5247 DIDESSE DR, BATON ROUGE, LA 70808-9153
(225) 765-3076
(225) 765-3090
Mailing address
5247 DIDESSE DR, BATON ROUGE, LA 70808-9153
(225) 765-3076
(225) 765-3090
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
04634R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1196550
—
LA
01
—
380001857
RAILROAD MEDICARE
LA
Enumeration date
07/22/2005
Last updated
03/27/2015
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