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ORLANDO GASTROENTEROLOGY P.A. NPI 1912002619


NPI Information

NPI: 1912002619
Provider Name: ORLANDO GASTROENTEROLOGY, P.A.
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 10D1043675

Address:
1507 S HIAWASSEE RD
STE# 105
ORLANDO, FL
ZIP 32835
Phone: (407) 445-9224
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ORLANDO GASTROENTEROLOGY, P.A. is a gastroenterology internal medicine in Orlando, 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. ORLANDO GASTROENTEROLOGY, P.A. NPI is 1912002619. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1507 S HIAWASSEE RD
STE# 105
ORLANDO, FL
ZIP 32835-718
Phone: (407) 445-9224
Fax: (407) 445-6236

The provider's authorized official is Srikiran Pothamsetty .
The authorized official title is President and has the following contact phone number (407) 445-9224.

The CLIA number assigned to this NPI record is 10D1043675 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 1/3/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0100XInternal MedicineGastroenterologyME82603FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
149448MEDICARE UPINFLORIDA
206244MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
3263820700MEDICAIDFLORIDA

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: 4/28/2024

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