Clinic For Digestive Diseases, Pc

LBN: Clinic For Digestive Diseases, Pc
Clinic For Digestive Diseases, Pc is an health care organization with primary practice located at 13203 N 103Rd Ave , Sun City AZ 85351-3099. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Clinic For Digestive Diseases, Pc can be contacted via phone (623) 972-2116, or through Kothur, Ramkrishna R via phone (623) 972-2116.

Contact Information

Primary practice address
13203 N 103Rd Ave Sun City AZ 85351-3099
Phone: (623) 972-2116
Fax: (623) 972-0521
Website:
Map and Directions
Authorized official contact:
Name: Kothur, Ramkrishna R Doctor of Medicine (MD)
Phone: (623) 972-2116

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1093789968
LBN Legal business name Clinic For Digestive Diseases, Pc
DBA Doing business as
Authorized official Kothur, Ramkrishna R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2006
Last updated Dec 15th, 2009 - about 17 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 1093789968 NPPES
Arizona Other AZ0805210 BCBS OF AZ/DR BETTINGER
Arizona Other 99S007600002 BCBS OF AZ/DR BETTINGER
Arizona MEDICAID 788036 BCBS OF AZ/DR BETTINGER
Arizona MEDICAID 250944-02 BCBS OF AZ/DR BETTINGER
Arizona MEDICAID 268830-02 BCBS OF AZ/DR BETTINGER
Arizona Other AZ0360800 BCBS OF AZ/DR BETTINGER
Arizona Other AZ0727350 BCBS OF AZ/DR BETTINGER
Arizona Other AZ0750990 BCBS OF AZ/DR BETTINGER
Arizona MEDICAID 002410-02 BCBS OF AZ/DR BETTINGER
Arizona Other AZ0187530 BCBS OF AZ/DR BETTINGER
Arizona MEDICAID 208604-02 BCBS OF AZ/DR BETTINGER
Arizona MEDICAID 855918 BCBS OF AZ/DR BETTINGER
Arizona Other AZ0361810 BCBS OF AZ/DR BETTINGER

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