Provider Demographics
NPI:1760552145
Name:GAMBETTI, PIERLUIGI (MD)
Entity Type:Individual
Prefix:PROF
First Name:PIERLUIGI
Middle Name:
Last Name:GAMBETTI
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 1:2949 BROXTON RD
Mailing Address - Street 2:
Mailing Address - City:SHAKER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44120-1819
Mailing Address - Country:US
Mailing Address - Phone:216-921-8735
Mailing Address - Fax:216-491-8037
Practice Address - Street 1:2085 ADELBERT ROAD ROOM 419
Practice Address - Street 2:CASE WESTERN RESERVE UNIVERSITY, INSTITUTE OF PATHOLOGY
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106
Practice Address - Country:US
Practice Address - Phone:216-368-0587
Practice Address - Fax:216-368-2546
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.0418881744R1102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744R1102XOther Service ProvidersSpecialistResearch Study
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHCO2294Medicare UPIN
OH0498457Medicare ID - Type Unspecified