NPI 1629563085 · live from the CMS NPI Registry
Executive Digestive Health
Internal Medicine, Gastroenterology in Scottsdale, AZ. National Provider Identifier 1629563085, active.
NPI record
| NPI | 1629563085 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 8761 E Bell Rd Ste 101, Scottsdale, AZ 85260 |
| Practice phone | 480-219-6662 |
| Mailing address | 8761 E Bell Rd Ste 105, Scottsdale, AZ 85260 |
| Enumerated | June 28, 2018 |
| Last updated | June 28, 2018 |
| Authorized official | Jaffrey Kazi, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | 31610 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.