NPI 1104019413 · live from the CMS NPI Registry
Adult Gastroenterology, P.L.L.C.
Internal Medicine, Gastroenterology in Phoenix, AZ. National Provider Identifier 1104019413, active.
NPI record
| NPI | 1104019413 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 5815 N Black Canyon Hwy Ste 101, Phoenix, AZ 85015 |
| Practice phone | 602-973-6666 |
| Enumerated | August 20, 2007 |
| Last updated | January 22, 2026 |
| Authorized official | Nadim Zyadeh, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | 30881 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.