| Digestive And Liver Disease Specialists A Medical Group Inc | |
|
1771 W Romneya Dr Suite C Anaheim CA 92801 | |
| (714) 758-0403 | |
| (714) 917-0785 |
| Full Name | Digestive And Liver Disease Specialists A Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1771 W Romneya Dr, Anaheim, California |
| Authorized Official Name and Position | Raja R Alapati (BILLING CLERK) |
| Authorized Official Contact | 7147580403 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive And Liver Disease Specialists A Medical Group Inc 1771 W Romneya Dr Suite C Anaheim CA 92801 Ph: (714) 758-0403 | Digestive And Liver Disease Specialists A Medical Group Inc 1771 W Romneya Dr Suite C Anaheim CA 92801 Ph: (714) 758-0403 |
| NPI Number | 1760469209 |
|---|---|
| Provider Enumeration Date | 12/27/2005 |
| Last Update Date | 09/13/2013 |
| Medicare PECOS PAC ID | 8729987144 |
|---|---|
| Medicare Enrollment ID | O20040105000891 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760469209 | NPI | - | NPPES |
| GR0055870 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Ravindra Alapati |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912989773 PECOS PAC ID: 1456250877 Enrollment ID: I20040526001069 |
| Provider Name | Syam P Gaddam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275510711 PECOS PAC ID: 0547169963 Enrollment ID: I20040720001636 |
| Provider Name | Gayatri Subedi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043356173 PECOS PAC ID: 6204931991 Enrollment ID: I20110620000650 |
| Provider Name | Tahmina S Haq |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538332853 PECOS PAC ID: 1850565466 Enrollment ID: I20151104002393 |
| Provider Name | Amit Raina |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316138142 PECOS PAC ID: 9436242807 Enrollment ID: I20220502001044 |
The Family Medicine Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1211 W. La Palma Avenue, Suite #404, Anaheim, CA 92801 Phone: 714-772-1030 Fax: 714-772-1758 | |
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Richard Dick M Yip Md A Medical Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 408 S Beach Blvd Ste 211, Anaheim, CA 92804 Phone: 714-527-6000 Fax: 714-527-2371 | |
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