Healthcare Provider Details

I. General information

NPI: 1437653219
Provider Name (Legal Business Name): DAVID MAXWELL GALAMBOS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2018
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 CANAL ST
NEW ORLEANS LA
70112-3018
US

IV. Provider business mailing address

1542 TULANE AVE
NEW ORLEANS LA
70112-2865
US

V. Phone/Fax

Practice location:
  • Phone: 504-962-6110
  • Fax:
Mailing address:
  • Phone: 504-962-6110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number342521
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: