| Frontier Gastroenterology And Hepatology Llc | |
|
8109 State Road 54 New Port Richey FL 34655 | |
| (800) 454-9454 | |
| (800) 454-9655 |
| Full Name | Frontier Gastroenterology And Hepatology Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8109 State Road 54, New Port Richey, Florida |
| Authorized Official Name and Position | Mohamed Kaif (PRESIDENT/OWNER/MD) |
| Authorized Official Contact | 8004549454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frontier Gastroenterology And Hepatology Llc 8109 State Road 54 New Port Richey FL 34655-3000 Ph: (800) 454-9454 | Frontier Gastroenterology And Hepatology Llc 8109 State Road 54 New Port Richey FL 34655 Ph: (800) 454-9454 |
| NPI Number | 1447753058 |
|---|---|
| Provider Enumeration Date | 03/10/2018 |
| Last Update Date | 08/20/2018 |
| Medicare PECOS PAC ID | 3577828953 |
|---|---|
| Medicare Enrollment ID | O20180606001218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447753058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME128010 (Florida) | Primary |
| Provider Name | Mohammed Kaif |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437476496 PECOS PAC ID: 1052553419 Enrollment ID: I20161024002664 |
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