Accredited Center for Digestive Health PLLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

ACCREDITED CENTER FOR DIGESTIVE HEALTH PLLC

Practice address

2563 S Val Vista Dr
Ste 101a
Gilbert, AZ 85295

Phone

(480) 985-9005

Fax

(480) 396-9974

NPI assigned

Nov 27, 2007

Last updated

Oct 14, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sanjay M Ahluwalia

Title

Vice President

Phone

(480) 733-0500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1073795571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2563 S VAL VISTA DR",
            "address_2": "STE 101A",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85295",
            "telephone_number": "480-733-0500",
            "fax_number": "480-396-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2563 S VAL VISTA DR",
            "address_2": "STE 101A",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85295",
            "telephone_number": "480-985-9005",
            "fax_number": "480-396-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCREDITED CENTER FOR DIGESTIVE HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "AHLUWALIA",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "480-733-0500"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN UPIN",
            "identifier": "F77678",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Gilbert, AZ
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.