NPI 1043136005 · live from the CMS NPI Registry
Advanced Care Gastro LLC
Internal Medicine, Gastroenterology in Paradise Valley, AZ. National Provider Identifier 1043136005, active.
NPI record
| NPI | 1043136005 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 5105 E Valle Vista Way, Paradise Valley, AZ 85253 |
| Practice phone | 480-650-2168 |
| Enumerated | June 25, 2026 |
| Last updated | June 25, 2026 |
| Authorized official | Mohammad Khan, President |
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.