| Arizona Gastroenterology Clinic Llc | |
|
14155 N 83rd Ave Ste 122 Peoria AZ 85381-5640 | |
| (623) 773-1161 | |
| (623) 773-1181 |
| Full Name | Arizona Gastroenterology Clinic Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 14155 N 83rd Ave Ste 122, Peoria, Arizona |
| Authorized Official Name and Position | Daljit Singh Bal (PRESIDENT) |
| Authorized Official Contact | 6237731161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Gastroenterology Clinic Llc 14155 N 83rd Ave Ste 122 Peoria AZ 85381-5640 Ph: (623) 773-1161 | Arizona Gastroenterology Clinic Llc 14155 N 83rd Ave Ste 122 Peoria AZ 85381-5640 Ph: (623) 773-1161 |
| NPI Number | 1649539255 |
|---|---|
| Provider Enumeration Date | 05/16/2012 |
| Last Update Date | 05/16/2012 |
| Medicare PECOS PAC ID | 1951554641 |
|---|---|
| Medicare Enrollment ID | O20130108000081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649539255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 27357 (Arizona) | Primary |
| Provider Name | Puja Verma |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1497735815 PECOS PAC ID: 5799775201 Enrollment ID: I20040517000439 |
| Provider Name | Daljit S Bal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144273533 PECOS PAC ID: 6204886252 Enrollment ID: I20050413001014 |
| Provider Name | Anil Prasad Ramarao |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659481661 PECOS PAC ID: 1153404165 Enrollment ID: I20080214000253 |
| Provider Name | Akshay V Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003040981 PECOS PAC ID: 4486788445 Enrollment ID: I20100813000161 |
| Provider Name | Akash Nabh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437325313 PECOS PAC ID: 9436217916 Enrollment ID: I20130604000420 |
| Provider Name | Amber R Senator |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558863597 PECOS PAC ID: 2567724883 Enrollment ID: I20180327001568 |
| Provider Name | Joon H Yim |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093708653 PECOS PAC ID: 9638189806 Enrollment ID: I20180711003716 |
Centerwell Senior Primary Care-peoria Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10280 N 91st Ave, Peoria, AZ 85345 Phone: 602-842-9880 Fax: 877-891-4091 | |
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Anesthesia Services For Gi Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14155 N 83rd Ave Ste 122, Peoria, AZ 85381 Phone: 623-694-1445 |