CLINIC FOR DIGESTIVE DISEASES PC NPI 1093789968

NPI Information

CLINIC FOR DIGESTIVE DISEASES, PC is a specialist in Sun City, AZ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CLINIC FOR DIGESTIVE DISEASES, PC NPI is 1093789968. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13203 N 103RD AVE
SUN CITY, AZ
ZIP 85351-099
Phone: (623) 972-2116
Fax: (623) 972-0521

The provider's authorized official is Ramkrishna R Kothur .
The authorized official title is President and has the following contact phone number (623) 972-2116.

The CLIA number assigned to this NPI record is 03D0531621 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/15/2006 and was last updated on 12/15/2009.

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:

Other Identifiers

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

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