| Adult Gastroenterology, P.l.l.c. | |
|
2236 W Bethany Home Rd Suite 2 Phoenix AZ 85015-1934 | |
| (602) 550-6354 | |
| (602) 242-9220 |
| Full Name | Adult Gastroenterology, P.l.l.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2236 W Bethany Home Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Nadim T. Zyadeh (PRESIDENT) |
| Authorized Official Contact | 6025506354 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult Gastroenterology, P.l.l.c. Po Box 27340 Phoenix AZ 85061-7340 Ph: (602) 943-9200 | Adult Gastroenterology, P.l.l.c. 2236 W Bethany Home Rd Suite 2 Phoenix AZ 85015-1934 Ph: (602) 550-6354 |
| NPI Number | 1104019413 |
|---|---|
| Provider Enumeration Date | 08/20/2007 |
| Last Update Date | 10/08/2008 |
| Medicare PECOS PAC ID | 9234227513 |
|---|---|
| Medicare Enrollment ID | O20071120000557 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104019413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 30881 (Arizona) | Primary |
| Provider Name | Nadim T Zyadeh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609877935 PECOS PAC ID: 7911092960 Enrollment ID: I20071004000868 |
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