Sierra Gastroenterology, Pllc.

LBN: Sierra Gastroenterology, Pllc.
Sierra Gastroenterology, Pllc. is an health care organization with primary practice located at 4990 E Mediterranean Dr Suite A, Sierra Vista AZ 85635-2494. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Sierra Gastroenterology, Pllc. can be contacted via phone (520) 458-5890, or through Boyella, Vijaya D via phone (520) 458-5890.

Contact Information

Primary practice address
4990 E Mediterranean Dr Suite A Sierra Vista AZ 85635-2494
Phone: (520) 458-5890
Fax: (520) 458-4439
Website:
Map and Directions
Authorized official contact:
Name: Boyella, Vijaya D Doctor of Medicine (MD)
Phone: (520) 458-5890

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1114285566
LBN Legal business name Sierra Gastroenterology, Pllc.
DBA Doing business as
Authorized official Boyella, Vijaya D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2012
Last updated Apr 23rd, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114285566 NPPES
Arizona MEDICAID 168213
Arizona Other 35086

Popular Providers