Advanced Care Gastroenterology, P.C

LBN: Advanced Care Gastroenterology, P.C
Advanced Care Gastroenterology, P.C is an health care organization with primary practice located at 525 N 18Th St Suite # 601, Phoenix AZ 85006-4102. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Advanced Care Gastroenterology, P.C can be contacted via phone (602) 307-9112, or through Khan, Mohammad Naeemullah via phone (602) 307-9112.

Contact Information

Primary practice address
525 N 18Th St Suite # 601 Phoenix AZ 85006-4102
Phone: (602) 307-9112
Fax: (602) 307-9155
Website:
Map and Directions
Authorized official contact:
Name: Khan, Mohammad Naeemullah Doctor of Medicine (MD)
Phone: (602) 307-9112

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 30038 Arizona

Profile Details

NPI number 1104946466
LBN Legal business name Advanced Care Gastroenterology, P.C
DBA Doing business as
Authorized official Khan, Mohammad Naeemullah Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104946466 NPPES
Arizona MEDICAID 639130

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