Individual
THOMAS RYAN GULLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8401 PICARDY AVE, BATON ROUGE, LA 70809-3685
(225) 308-0247
(225) 308-0249
Mailing address
8401 PICARDY AVE, BATON ROUGE, LA 70809-3685
(225) 308-0247
(225) 308-0249
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10050266
TX
207RC0000X
Cardiovascular Disease Physician
R2112
TX
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
326260
LA
Other
Enumeration date
04/22/2014
Last updated
11/01/2023
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