Provider Demographics
NPI:1528700762
Name:GERGES, LOUIS ADEL (MD)
Entity type:Individual
Prefix:
First Name:LOUIS
Middle Name:ADEL
Last Name:GERGES
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 1:1704 NORTHFIELD DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203-6287
Mailing Address - Country:US
Mailing Address - Phone:929-422-9511
Mailing Address - Fax:
Practice Address - Street 1:900 W NIFONG BLVD STE 101
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-4469
Practice Address - Country:US
Practice Address - Phone:573-815-6640
Practice Address - Fax:573-815-6644
Is Sole Proprietor?:No
Enumeration Date:2022-04-08
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2025030308207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine