Corvallis Gastroenterology Pc

LBN: Corvallis Gastroenterology Pc
Corvallis Gastroenterology Pc is an health care organization with primary practice located at 3521 Nw Samaritan Dr Suite 101, Corvallis OR 97330-4744. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Corvallis Gastroenterology Pc can be contacted via phone (541) 768-6119, or through Vasdev, Surinder Mohan via phone (541) 768-6116.

Contact Information

Primary practice address
3521 Nw Samaritan Dr Suite 101 Corvallis OR 97330-4744
Phone: (541) 768-6119
Fax: (541) 768-6120
Website:
Map and Directions
Authorized official contact:
Name: Vasdev, Surinder Mohan Doctor of Medicine (MD)
Phone: (541) 768-6116

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Oregon

Profile Details

NPI number 1124075627
LBN Legal business name Corvallis Gastroenterology Pc
DBA Doing business as
Authorized official Vasdev, Surinder Mohan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2006
Last updated Oct 9th, 2012 - about 13 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 1124075627 NPPES
Oregon MEDICAID 240038

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