| American Advanced Gastroenterology Inc | |
|
173 E Webster St Colusa CA 95932-2949 | |
| (209) 857-4787 | |
| (209) 248-7856 |
| Full Name | American Advanced Gastroenterology Inc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 173 E Webster St, Colusa, California |
| Authorized Official Name and Position | Mohammad Humayoun Khan (PRESIDENT) |
| Authorized Official Contact | 3122248764 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| American Advanced Gastroenterology Inc 4120 Dale Rd # J8-140 Modesto CA 95356-9232 Ph: (209) 857-4787 | American Advanced Gastroenterology Inc 173 E Webster St Colusa CA 95932-2949 Ph: (209) 857-4787 |
| NPI Number | 1376041962 |
|---|---|
| Provider Enumeration Date | 01/29/2018 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376041962 | NPI | - | NPPES |
| A35408 | Other | CA | MEDICAL BOARD OF CALIFORNIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A35408 (California) | Primary |
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