Provider Demographics
NPI:1124055249
Name:GALLIANO, DANTE (MD)
Entity type:Individual
Prefix:
First Name:DANTE
Middle Name:
Last Name:GALLIANO
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 1:905 RIDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-6133
Mailing Address - Country:US
Mailing Address - Phone:504-473-1349
Mailing Address - Fax:
Practice Address - Street 1:3900 N CAUSEWAY BLVD STE 625
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-1771
Practice Address - Country:US
Practice Address - Phone:504-262-9033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA024192174400000X
FLME159857207L00000X
LAMD.024192207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No174400000XOther Service ProvidersSpecialist