Dr GABRIEL N AGBANYIM is a male medical professional, specializing in Internal Medicine. He graduated in 2011 from Wayne State University School Of Medicine.
LALLIE KEMP MEDICAL CTR
52579 HWY 51 S
INDEPENDENCE
LA
704432231
Tel: 9858781349
| Npi | 1386938058 |
| Pac Id | 6800024472 |
| Professional Enrollment Id | I20150122000845 |
| Last Name | AGBANYIM |
| First Name | GABRIEL |
| Middle Name | N |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | LALLIE KEMP MEDICAL CTR |
| Group Practice Pac Id | 0345238903 |
| Number Of Group Practice Members | 47 |
| Line 1 Street Address | 52579 HWY 51 S |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | INDEPENDENCE |
| State | LA |
| Zip Code | 704432231 |
| Phone Number | 9858781349 |
| Hospital Affiliation Ccn 1 | 190044 |
| Hospital Affiliation Lbn 1 | ACADIA GENERAL HOSPITAL |
| Hospital Affiliation Ccn 2 | 191322 |
| Hospital Affiliation Lbn 2 | ABROM KAPLAN MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 3 | 450694 |
| Hospital Affiliation Lbn 3 | EL CAMPO MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 4 | 191321 |
| Hospital Affiliation Lbn 4 | LALLIE KEMP MEDICAL CENTER |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | M |
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