MEDICARE: DR. LEAH KAYE GILBERT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	R71683	AZ
2	207P00000X	Emergency Medicine Physician	068777	GA

General Provider Information

NPI Number	:	1699904185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEAH KAYE GILBERT M.D.

Provider Business Mailing Address
First Line	:	1501 N CAMPBELL AVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85724-0001
Country	:	US
Telephone Number	:	520-626-7233
Fax Number	:

Provider Business Practice Location Address
First Line	:	1609 N WARREN AVE
Second Line	:	FOB BLDG. 220, ROOM 118
City	:	TUCSON
State	:	AZ
Zip	:	85719-3761
Country	:	US
Telephone Number	:	520-626-6312
Fax Number	:	520-626-2480

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2009
Last Update Date	:	03/02/2016

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