Advanced Gastroenterology Of South Florida, P.a. | |
7100 W 20th Ave Suite 301 Hialeah FL 33016-1897 | |
(305) 556-3727 | |
Not Available |
Full Name | Advanced Gastroenterology Of South Florida, P.a. |
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Speciality | Internal Medicine |
Location | 7100 W 20th Ave, Hialeah, Florida |
Authorized Official Name and Position | Karthik Mohan (PRESIDENT) |
Authorized Official Contact | 3055563727 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Advanced Gastroenterology Of South Florida, P.a. 7100 W 20th Ave Suite 301 Hialeah FL 33016-1897 Ph: (305) 556-3727 | Advanced Gastroenterology Of South Florida, P.a. 7100 W 20th Ave Suite 301 Hialeah FL 33016-1897 Ph: (305) 556-3727 |
NPI Number | 1063845113 |
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Provider Enumeration Date | 08/13/2013 |
Last Update Date | 08/13/2013 |
Medicare PECOS PAC ID | 3274767421 |
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Medicare Enrollment ID | O20131002000185 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063845113 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | OS11861 (Florida) | Primary |
Provider Name | Karthik Mohan |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1447695564 PECOS PAC ID: 0547494791 Enrollment ID: I20131002000182 |
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