NPI 1619107547 · live from the CMS NPI Registry
Desert Gastroenterology Associates PLLC
Internal Medicine, Gastroenterology in Mesa, AZ. National Provider Identifier 1619107547, active.
NPI record
| NPI | 1619107547 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 1520 S Dobson Rd, Suite 212, Mesa, AZ 85202 |
| Practice phone | 480-353-2000 |
| Enumerated | July 27, 2009 |
| Last updated | July 27, 2009 |
| Authorized official | Shiv Verma, Managing Member |
| Other names | Desert Gi |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | 32753 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.