NPI 1003505157 · live from the CMS NPI Registry
Modern Gastroenterology
Internal Medicine, Gastroenterology in Siloam Springs, AR. National Provider Identifier 1003505157, active.
NPI record
| NPI | 1003505157 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 102 E Central St, Siloam Springs, AR 72761 |
| Practice phone | 479-335-5511 |
| Mailing address | 4501 N Highway 7 Ste 8, Hot Springs Village, AR 71909 |
| Enumerated | May 4, 2023 |
| Last updated | May 4, 2023 |
| Authorized official | Thusha Nathan, Practitioner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.