Adult Gastroenterology, P.l.l.c.
Internal Medicine, Gastroenterology in Phoenix, Arizona
1104019413- Practice location
- 5815 N Black Canyon Hwy Ste 101, Phoenix, AZ 85015-2200
- Phone
- 602-973-6666
- Fax
- 602-812-3395
- Last updated
- January 22, 2026
Adult Gastroenterology, P.l.l.c. is a healthcare organization based in Phoenix, AZ. The NPI number for Adult Gastroenterology, P.l.l.c. is 1104019413 and holds license No. 30881 (AZ). The current practice location address is 5815 N Black Canyon Hwy Ste 101, Phoenix, AZ 85015-2200 and the office can be reached by phone at 602-973-6666 and by fax at 602-812-3395. The NPI was assigned on August 20, 2007 and the record was last updated in NPPES on January 22, 2026.
●Provider Profile Details
- NPI Number
- 1104019413
- Provider Name
- Adult Gastroenterology, P.l.l.c.
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Internal Medicine, Gastroenterology · 207RG0100X
- Organization Subpart
- No
- Authorized Official
- Nadim T. Zyadeh, MD · President · 602-973-6666
- Enumeration Date
- August 20, 2007
- Last Update Date
- January 22, 2026
- Certification Date
- January 22, 2026
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 5815 N Black Canyon Hwy Ste 101
Phoenix, AZ 85015-2200 - City
- Phoenix
- State
- Arizona
- ZIP
- 85015-2200
- Country
- US
- Phone Number
- 602-973-6666
- Fax Number
- 602-812-3395
✉Business Mailing Address
- 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
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Internal Medicine, Gastroenterology 193400000X - Single Specialty Group | 207RG0100X | Yes | 30881 | AZ |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Phoenix →?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) and holds license No. 30881 (AZ).
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 at npiregistry.cms.hhs.gov.