Healthcare Provider Details

I. General information

NPI: 1346040359
Provider Name (Legal Business Name): MARC GEBARA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: MARC GEBARA

II. Dates (important events)

Enumeration Date: 03/18/2025
Last Update Date: 03/18/2025
Certification Date: 03/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

TULANE UNIVERSITY SCHOOL OF MEDICINE OFFICE OF ACADEMIC AFFAIRS 131 S. ROBERTSON STREET
NEW ORLEANS LA
70112-7011
US

IV. Provider business mailing address

TULANE UNIVERSITY SCHOOL OF MEDICINE OFFICE OF ACADEMIC AFFAIRS 1430 TULANE AVE #8020
NEW ORLEANS LA
70112
US

V. Phone/Fax

Practice location:
  • Phone: 504-988-6191
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: