NPI 1104946466 · live from the CMS NPI Registry
Advanced Care Gastroenterology, P.C
Internal Medicine, Gastroenterology in Phoenix, AZ. National Provider Identifier 1104946466, active.
NPI record
| NPI | 1104946466 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 525 N 18th St, Suite # 601, Phoenix, AZ 85006 |
| Practice phone | 602-307-9112 |
| Enumerated | March 30, 2007 |
| Last updated | August 22, 2020 |
| Authorized official | Mohammad Khan, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | 30038 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.