| Associates In Gastroenterology,p.c. | |
|
15134 Levan Rd Livonia MI 48154-5027 | |
| (734) 779-2143 | |
| (734) 779-2151 |
| Full Name | Associates In Gastroenterology,p.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 15134 Levan Rd, Livonia, Michigan |
| Authorized Official Name and Position | Gunjan P Shah (PRESIDENT) |
| Authorized Official Contact | 7347792143 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Associates In Gastroenterology,p.c. 15134 Levan Rd Livonia MI 48154-5027 Ph: (734) 779-2143 | Associates In Gastroenterology,p.c. 15134 Levan Rd Livonia MI 48154-5027 Ph: (734) 779-2143 |
| NPI Number | 1083752356 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 02/03/2020 |
| Medicare PECOS PAC ID | 2961677091 |
|---|---|
| Medicare Enrollment ID | O20111219000453 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083752356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| 261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Secondary |
| Provider Name | Gunjan P Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497720510 PECOS PAC ID: 5395910426 Enrollment ID: I20111219000506 |
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