| Modern Gastroenterology | |
|
102 E Central St Siloam Springs AR 72761-3100 | |
| (479) 335-5511 | |
| Not Available |
| Full Name | Modern Gastroenterology |
|---|---|
| Speciality | Internal Medicine |
| Location | 102 E Central St, Siloam Springs, Arkansas |
| Authorized Official Name and Position | Thusha Nathan (PRACTITIONER) |
| Authorized Official Contact | 4793355511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Gastroenterology 4501 N Highway 7 Ste 8 Hot Springs Village AR 71909-8201 Ph: (806) 928-7147 | Modern Gastroenterology 102 E Central St Siloam Springs AR 72761-3100 Ph: (479) 335-5511 |
| NPI Number | 1003505157 |
|---|---|
| Provider Enumeration Date | 05/04/2023 |
| Last Update Date | 05/04/2023 |
| Medicare PECOS PAC ID | 7911366653 |
|---|---|
| Medicare Enrollment ID | O20230628004452 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003505157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Thusha N Nathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295718211 PECOS PAC ID: 0547221939 Enrollment ID: I20120515000159 |
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