NPI 1336320613 · live from the CMS NPI Registry
Associated Desert Gastroenterologists PC
Internal Medicine, Gastroenterology in Mesa, AZ. National Provider Identifier 1336320613, active.
NPI record
| NPI | 1336320613 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 215 S Power Rd, # 102, Mesa, AZ 85206 |
| Practice phone | 480-985-9005 |
| Mailing address | 215 S Power Rd, Suite 102, Mesa, AZ 85206 |
| Enumerated | November 15, 2007 |
| Last updated | November 4, 2014 |
| Authorized official | Prem Kumar, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | 12854 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.