Active NPIOrganization

Advanced Care Gastroenterology, P.c

Internal Medicine, Gastroenterology in Phoenix, Arizona

NPI Number1104946466
Practice location
525 N 18TH St, Suite # 601, Phoenix, AZ 85006-4102
Fax
602-307-9155
Last updated
August 22, 2020

Advanced Care Gastroenterology, P.c is a healthcare organization based in Phoenix, AZ. The NPI number for Advanced Care Gastroenterology, P.c is 1104946466 and holds license No. 30038 (AZ). The current practice location address is 525 N 18TH St, Suite # 601, Phoenix, AZ 85006-4102 and the office can be reached by phone at 602-307-9112 and by fax at 602-307-9155. The NPI was assigned on March 30, 2007 and the record was last updated in NPPES on August 22, 2020.

●Provider Profile Details

NPI Number
1104946466
Provider Name
Advanced Care Gastroenterology, P.c
Entity Type
Organization (Type 2 NPI)
Primary Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X
Organization Subpart
No
Authorized Official
Dr. Mohammad Naeemullah Khan, MD · President · 602-307-9112
Enumeration Date
March 30, 2007
Last Update Date
August 22, 2020
NPI Status
Active

◉Business Practice Location Address

Address
525 N 18TH St
Suite # 601
Phoenix, AZ 85006-4102
State
Arizona
ZIP
85006-4102
Country
US
Phone Number
602-307-9112
Fax Number
602-307-9155

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✉Business Mailing Address

Address
525 N 18TH St
Suite # 601
Phoenix, AZ 85006-4102
City
Phoenix
State
AZ
ZIP
85006-4102
Phone Number
602-307-9112
Fax Number
602-307-9155

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Internal Medicine, Gastroenterology
193400000X - Single Specialty Group
207RG0100XYes30038AZ

#Other Provider Identifiers

No legacy or other 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 Advanced Care Gastroenterology, P.c?

The NPI number of Advanced Care Gastroenterology, P.c is 1104946466. It was assigned on March 30, 2007 and is currently active in the NPPES registry.

What is the specialty of Advanced Care Gastroenterology, P.c?

Advanced Care Gastroenterology, P.c is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X) and holds license No. 30038 (AZ).

Where does Advanced Care Gastroenterology, P.c practice?

The practice location is 525 N 18TH St, Suite # 601, Phoenix, AZ 85006-4102. The office can be reached at 602-307-9112 (phone) or 602-307-9155 (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 1104946466 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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