| Ghentmd Integrative Health And Wellness Clinic | |
|
1434 W Elliot Rd Ste 101 Gilbert AZ 85233-5157 | |
| (651) 246-7242 | |
| Not Available |
| Full Name | Ghentmd Integrative Health And Wellness Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 1434 W Elliot Rd Ste 101, Gilbert, Arizona |
| Authorized Official Name and Position | Anthony Asuelimen Aghenta (PRESIDENT) |
| Authorized Official Contact | 4809358855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ghentmd Integrative Health And Wellness Clinic 1434 W Elliot Rd Ste 101 Gilbert AZ 85233-5157 Ph: (480) 935-8855 | Ghentmd Integrative Health And Wellness Clinic 1434 W Elliot Rd Ste 101 Gilbert AZ 85233-5157 Ph: (651) 246-7242 |
| NPI Number | 1740758515 |
|---|---|
| Provider Enumeration Date | 11/09/2018 |
| Last Update Date | 05/15/2021 |
| Medicare PECOS PAC ID | 4486980729 |
|---|---|
| Medicare Enrollment ID | O20190724003997 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740758515 | NPI | - | NPPES |
| 550726 | Medicaid | AZ |
| Provider Name | Anthony A Aghenta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316084130 PECOS PAC ID: 5698813749 Enrollment ID: I20091110000247 |
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