Active NPIOrganization

Adult Gastroenterology, P.l.l.c.

Internal Medicine, Gastroenterology in Phoenix, Arizona

NPI Number1104019413
Practice location
5815 N Black Canyon Hwy Ste 101, Phoenix, AZ 85015-2200
Fax
602-812-3395
Last updated
January 22, 2026

Adult Gastroenterology, P.l.l.c. is a healthcare organization based in Phoenix, AZ. Adult Gastroenterology, P.l.l.c. practices in Phoenix, AZ. The NPI Number for Adult Gastroenterology, P.l.l.c. is 1104019413 and holds a License No. 30881 (AZ). The current practice location address for Adult Gastroenterology, P.l.l.c. is 5815 N Black Canyon Hwy Ste 101, Phoenix, AZ 85015-2200 and can be reached out via phone at 602-973-6666 and via fax at 602-812-3395.

Provider Profile Details

NPI Number
1104019413
Provider Name
Adult Gastroenterology, P.l.l.c.
Provider Entity Type
Organization
Address
5815 N Black Canyon Hwy Ste 101, Phoenix, AZ 85015-2200
Phone Number
602-973-6666
Fax Number
602-812-3395
Primary Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X
Organization Subpart
No
Authorized Official
Nadim T. Zyadeh, MD · President · 602-973-6666
Provider Enumeration Date
August 20, 2007
Last Update Date
January 22, 2026
Certification Date
January 22, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
5815 N Black Canyon Hwy Ste 101
Phoenix, AZ 85015-2200
State
Arizona
Zip
85015-2200
Phone Number
602-973-6666
Fax Number
602-812-3395
Phoenix, AZ 85015Get directions →

Provider Business Mailing Address Details

Address
5815 N Black Canyon Hwy Ste 101
Phoenix, AZ 85015-2200
City
Phoenix
State
AZ
Zip
85015-2200
Phone Number
602-973-6666
Fax Number
602-812-3395

License Information

License Number
30881
License State
AZ
Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Adult Gastroenterology, P.l.l.c.?

The NPI number of Adult Gastroenterology, P.l.l.c. is 1104019413. It was assigned on August 20, 2007 and is currently active in the NPPES registry.

What is the specialty of Adult Gastroenterology, P.l.l.c.?

Adult Gastroenterology, P.l.l.c. is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in AZ under license number 30881.

Where does Adult Gastroenterology, P.l.l.c. practice?

The practice location is 5815 N Black Canyon Hwy Ste 101, Phoenix, AZ 85015-2200. The office can be reached at 602-973-6666 (phone) or 602-812-3395 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104019413 directly on the NPPES registry website.

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