| Gastroenterology Associates Of Hazard Psc | |
|
200 Medical Center Dr Suite 2b Hazard KY 41701-9466 | |
| (606) 439-3952 | |
| (606) 439-0154 |
| Full Name | Gastroenterology Associates Of Hazard Psc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 200 Medical Center Dr, Hazard, Kentucky |
| Authorized Official Name and Position | Sharmila Shankar (PRACTICE MANAGER) |
| Authorized Official Contact | 6064393952 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Associates Of Hazard Psc 200 Medical Center Dr Suite 2b Hazard KY 41701-9466 Ph: (606) 439-3952 | Gastroenterology Associates Of Hazard Psc 200 Medical Center Dr Suite 2b Hazard KY 41701-9466 Ph: (606) 439-3952 |
| NPI Number | 1265408900 |
|---|---|
| Provider Enumeration Date | 02/23/2006 |
| Last Update Date | 01/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265408900 | NPI | - | NPPES |
| 7100073840 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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