Digestive Health Clinic

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

DIGESTIVE HEALTH CLINIC

Practice address

2486 Nerredia St Ste a
Flint, MI 48532-4807

Phone

(810) 720-1600

Fax

(810) 407-7698

NPI assigned

Oct 11, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mamoon M Elbedawi, MD

Title

Co Owner

Phone

(810) 908-9042

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539216000000",
    "number": "1043785561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7214 ANDREA CT",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484399655",
            "telephone_number": "810-908-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2486 NERREDIA ST STE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485324807",
            "telephone_number": "810-720-1600",
            "fax_number": "810-407-7698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1335 S Linden Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485323420",
            "country_code": "US",
            "telephone_number": "810-733-6300",
            "fax_number": "810-633-6344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIGESTIVE HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-11",
        "last_updated": "2018-10-11",
        "status": "A",
        "authorized_official_last_name": "ELBEDAWI",
        "authorized_official_first_name": "MAMOON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "810-908-9042",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julianne Diem
• Diana J. Diesch
• Melonie Dieugenio
• Paul J. Diffenderffer, CRNA
• Digestive Diseases & Clinical Nutrition Center, PC
• Starletta Faye Diggs
• Dilip M Desai
• Samuel L Dillard
• Shakira Dillard
• Anna Maria Dillaway, LMSW

• Gastroenterology Physician in Flint, MI
• Providers in Flint, MI by specialty
• Gastroenterology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.