DR. EDGARDO GAMBOA MD NPI 1104890805

NPI Information

  • NPI: 1104890805
  • Provider Name: DR. EDGARDO GAMBOA, MD
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Individual
  • Address: 2214 CANTERBURY DR
    SUITE 314
    HAYS, KS
    ZIP 67601
  • Phone: (785) 623-2326

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NPI Details

DR. Edgardo Gamboa, MD is a neurology psychiatry neurology in Hays, KS. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Edgardo Gamboa, MD NPI is 1104890805. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2214 CANTERBURY DR
SUITE 314
HAYS, KS
ZIP 67601-375
Phone: (785) 623-2326
Fax: (785) 623-2331

The enumeration date for this NPI number is 2/17/2006 and was last updated on 12/16/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurology0429376KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1101438MEDICARE ID-TYPE UNSPECIFIEDKANSASINDIVIDUAL MEDICARE #
2F44963MEDICARE UPINKANSAS
3100168010BMEDICAIDKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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