| Colon, Stomach And Liver Center, Llc | |
|
19455 Deerfield Ave Suite 201 Leesburg VA 20176-8446 | |
| (703) 723-3670 | |
| (703) 723-8336 |
| Full Name | Colon, Stomach And Liver Center, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 19455 Deerfield Ave, Leesburg, Virginia |
| Authorized Official Name and Position | Satinder Gill (PRESIDENT) |
| Authorized Official Contact | 7037233670 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Colon, Stomach And Liver Center, Llc 1250 Reston Ave Herndon VA 20170-2403 Ph: (703) 723-3670 | Colon, Stomach And Liver Center, Llc 19455 Deerfield Ave Suite 201 Leesburg VA 20176-8446 Ph: (703) 723-3670 |
| NPI Number | 1730268343 |
|---|---|
| Provider Enumeration Date | 11/03/2006 |
| Last Update Date | 07/08/2010 |
| Medicare PECOS PAC ID | 4082670666 |
|---|---|
| Medicare Enrollment ID | O20041206000481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730268343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Hiwot B Desta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558321091 PECOS PAC ID: 4880650464 Enrollment ID: I20041206000502 |
| Provider Name | Satinder S Gill |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487614913 PECOS PAC ID: 1355307935 Enrollment ID: I20120413000095 |
| Provider Name | Colleen E Nappi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407100308 PECOS PAC ID: 1557515673 Enrollment ID: I20130125000065 |
| Provider Name | Hani Sabahi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710299847 PECOS PAC ID: 8820237506 Enrollment ID: I20170803000816 |
| Provider Name | Rahul Kataria |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538401831 PECOS PAC ID: 0547557118 Enrollment ID: I20201020004508 |
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