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MNGI DIGESTIVE HEALTH P.A. NPI 1609804541


NPI Information

NPI: 1609804541
Provider Name: MNGI DIGESTIVE HEALTH, P.A.
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 24D2124624

Address:
3001 BROADWAY ST NE STE 500
MINNEAPOLIS, MN
ZIP 55413
Phone: (612) 871-1145
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MNGI DIGESTIVE HEALTH, P.A. is a gastroenterology internal medicine in Minneapolis, MN. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. MNGI DIGESTIVE HEALTH, P.A. NPI is 1609804541. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3001 BROADWAY ST NE STE 500
MINNEAPOLIS, MN
ZIP 55413
Phone: (612) 871-1145
Fax: (612) 870-5491

The provider's authorized official is Scott Ketover .
The authorized official title is President and has the following contact phone number (612) 871-1145.

The CLIA number assigned to this NPI record is 24D2124624 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/29/2006 and was last updated on 5/19/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterology593MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1329508700MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.