Provider Demographics
NPI:1417376393
Name:FETTE, GABRIEL N (MD)
Entity Type:Individual
Prefix:DR
First Name:GABRIEL
Middle Name:N
Last Name:FETTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 DUMAINE ST
Mailing Address - Street 2:REAR APT
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70116-3006
Mailing Address - Country:US
Mailing Address - Phone:940-594-7942
Mailing Address - Fax:
Practice Address - Street 1:1020 DUMAINE ST
Practice Address - Street 2:REAR APT
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70116-3006
Practice Address - Country:US
Practice Address - Phone:940-594-7942
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-08
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LANOT YET ASSIGNED207R00000X, 2084P0800X
UT11236442-12052084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine