Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Lake Champlain Gynecologic Oncology, PC

Gynecologic Oncology Physician in South Burlington, VT · enumerated 2005 · authorized official Gamal Eltabbakh, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164418455

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Registry record

Entity type Organization (Type 2)

Legal business name Lake Champlain Gynecologic Oncology, PC

Practice address 1060 Hinesburg Rd, Suite 301, South Burlington, VT, 05403

Phone (802) 859-9500

Fax (802) 859-9944

Enumeration date Sep 22, 2005

Last updated in NPPES May 23, 2013

Taxonomy & classification

207VX0201X Gynecologic Oncology Physician Allopathic & Osteopathic Physicians Primary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Gamal Eltabbakh

Title President

Phone (802) 859-9500

Other identifiers

Identifier	Type	State	Issuer
01760585	Medicaid	NY	-
1008935	Medicaid	VT	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-05-23. Verify at npiregistry.cms.hhs.gov.

Where is Lake Champlain Gynecologic Oncology, PC located?

The practice location on file with NPPES is in South Burlington, VT.

Providers at this address

Browse all →

Gamal Eltabbakh Gynecologic Oncology Physician · South Burlington, VT NPI 1467448787 Georgia Eltabbakh Medical Physician Assistant · South Burlington, VT NPI 1871589150 Janet Miccolo General Practice Dentistry · South Burlington, VT NPI 1891710794 University of Vermont Medical Center General Practice Dentistry · South Burlington, VT NPI 1295140754 Angela Dunkling Dentist · South Burlington, VT NPI 1770945339

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-05-23.