DIGESTIVE & LIVER CLINIC PLLC. NPI 1770813164

NPI Information

NPI: 1770813164
Provider Name: DIGESTIVE & LIVER CLINIC, PLLC.
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
1360 W 5TH ST
LONDON, KY
ZIP 40741
Phone: (606) 877-1575
Get Directions

DIGESTIVE & LIVER CLINIC, PLLC. is a gastroenterology internal medicine in London, KY. 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. DIGESTIVE & LIVER CLINIC, PLLC. NPI is 1770813164. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1360 W 5TH ST
LONDON, KY
ZIP 40741-615
Phone: (606) 877-1575
Fax: (606) 877-1582

The provider's authorized official is Ashok Kanthawar .
The authorized official title is Ceo and has the following contact phone number (606) 877-1575.

The enumeration date for this NPI number is 1/6/2010 and was last updated on 3/16/2012.

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
1	207RG0100X	Internal Medicine	Gastroenterology	37920	KENTUCKY	Yes

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
1	614933100	OTHER	KENTUCKY	BLACK LUNG
2	000000654360	OTHER	KENTUCKY	ANTHEM
3	7100112810	MEDICAID	KENTUCKY
4	01279	MEDICARE PIN	KENTUCKY
5	50008556	OTHER	KENTUCKY	PASSPORT ADVANTAGE
6	C23095	OTHER	KENTUCKY	CHI

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

NPI Synchronization or Removal

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