| Advanced Gastroenterology Associates Llc | |
|
34041 Us Highway 19 N Ste A Palm Harbor FL 34684-2648 | |
| (727) 786-0017 | |
| Not Available |
| Full Name | Advanced Gastroenterology Associates Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 34041 Us Highway 19 N, Palm Harbor, Florida |
| Authorized Official Name and Position | Jawahar L Taunk (PRESIDENT) |
| Authorized Official Contact | 7277860017 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Gastroenterology Associates Llc 2410 Northside Dr Clearwater FL 33761-2236 Ph: (727) 499-0351 | Advanced Gastroenterology Associates Llc 34041 Us Highway 19 N Ste A Palm Harbor FL 34684-2648 Ph: (727) 786-0017 |
| NPI Number | 1619200482 |
|---|---|
| Provider Enumeration Date | 09/11/2009 |
| Last Update Date | 08/25/2017 |
| Medicare PECOS PAC ID | 6608917315 |
|---|---|
| Medicare Enrollment ID | O20100104000163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619200482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Jeffrey Smith |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1689735383 PECOS PAC ID: 2961467980 Enrollment ID: I20050902000638 |
| Provider Name | John Williams |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1598744393 PECOS PAC ID: 8820056369 Enrollment ID: I20051003000524 |
| Provider Name | James K Allen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073592812 PECOS PAC ID: 6305855768 Enrollment ID: I20060418000162 |
| Provider Name | Venu Lakshminarasimhan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912972969 PECOS PAC ID: 3173693900 Enrollment ID: I20100128000266 |
| Provider Name | Jawahar Taunk |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528066271 PECOS PAC ID: 7214840164 Enrollment ID: I20100128000289 |
| Provider Name | Sanjiv Amin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467450080 PECOS PAC ID: 6901948900 Enrollment ID: I20100128000338 |
| Provider Name | Tiyyagura Reddy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205848595 PECOS PAC ID: 9436229267 Enrollment ID: I20100128000454 |
| Provider Name | Mirela Onea |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144467531 PECOS PAC ID: 8224291240 Enrollment ID: I20120531000205 |
| Provider Name | Kevin Daniel Humphreys |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578854733 PECOS PAC ID: 1850517822 Enrollment ID: I20140728002162 |
| Provider Name | Archi Patel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710368501 PECOS PAC ID: 7618390063 Enrollment ID: I20200702000696 |
| Provider Name | Ashok Shiani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629462700 PECOS PAC ID: 0143639724 Enrollment ID: I20210512000161 |
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