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BAY AREA ADVANCE GASTROENTEROLOGY CARE INC NPI 1790055457


NPI Information

NPI: 1790055457
Provider Name: BAY AREA ADVANCE GASTROENTEROLOGY CARE INC
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 10D2277803

Address:
1130 KYLE WOOD LN
BRANDON, FL
ZIP 33511
Phone: (813) 600-5423
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BAY AREA ADVANCE GASTROENTEROLOGY CARE INC is a gastroenterology internal medicine in Brandon, FL. 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. BAY AREA ADVANCE GASTROENTEROLOGY CARE INC NPI is 1790055457. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1130 KYLE WOOD LN
BRANDON, FL
ZIP 33511-850
Phone: (813) 600-5423
Fax: (813) 482-9794

The provider's authorized official is Ramesh Narayan Ashwath .
The authorized official title is President and has the following contact phone number (813) 600-5423.

The CLIA number assigned to this NPI record is 10D2277803 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/11/2012 and was last updated on 1/5/2024.


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 MedicineGastroenterologyYes

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

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