| Digestive Health Clinic, Pllc | |
|
13128 N 94th Dr Ste 201 Peoria AZ 85381-4253 | |
| (623) 209-7227 | |
| Not Available |
| Full Name | Digestive Health Clinic, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13128 N 94th Dr Ste 201, Peoria, Arizona |
| Authorized Official Name and Position | Jagdish Patel (MEMBER) |
| Authorized Official Contact | 6232297172 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Health Clinic, Pllc 13128 N 94th Dr Ste 201 Peoria AZ 85381-4253 Ph: (623) 209-4227 | Digestive Health Clinic, Pllc 13128 N 94th Dr Ste 201 Peoria AZ 85381-4253 Ph: (623) 209-7227 |
| NPI Number | 1922605294 |
|---|---|
| Provider Enumeration Date | 10/08/2020 |
| Last Update Date | 11/01/2023 |
| Medicare PECOS PAC ID | 0749692978 |
|---|---|
| Medicare Enrollment ID | O20201213000056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922605294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Susan M Hawes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144213620 PECOS PAC ID: 9032014147 Enrollment ID: I20050728001004 |
| Provider Name | Jyotsna Ravi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447291034 PECOS PAC ID: 1254332968 Enrollment ID: I20070124000120 |
| Provider Name | Sharad Bellapravalu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679688790 PECOS PAC ID: 8224081302 Enrollment ID: I20090113000736 |
| Provider Name | Dave G Grosz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932184579 PECOS PAC ID: 0648312983 Enrollment ID: I20100125000291 |
| Provider Name | Malvinderjit Singh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730143165 PECOS PAC ID: 5294878476 Enrollment ID: I20100811000161 |
| Provider Name | Jagdish B Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730294844 PECOS PAC ID: 3678523628 Enrollment ID: I20101005001238 |
| Provider Name | Akash Nabh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437325313 PECOS PAC ID: 9436217916 Enrollment ID: I20130604000420 |
| Provider Name | Julie B Moore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497892558 PECOS PAC ID: 6103929492 Enrollment ID: I20141204001036 |
| Provider Name | Nikolas M Kozul |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871083675 PECOS PAC ID: 7113275934 Enrollment ID: I20180809005171 |
| Provider Name | Gina S. Calvanese |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124513114 PECOS PAC ID: 1951650464 Enrollment ID: I20180816001764 |
| Provider Name | Cody D Johnston |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285900605 PECOS PAC ID: 2769639962 Enrollment ID: I20181024002367 |
| Provider Name | Brad R Johnston |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104004894 PECOS PAC ID: 0244318368 Enrollment ID: I20200707000588 |
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