Guam Geriatrics Clinic
Organization Active NPI Clinic/Center · Tamuning, GU
NPI 1487907234 · NPPES record last updated Apr 18, 2013
Key facts
- NPI
- 1487907234
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- M-1360 (GU)
- Legal business name
- GUAM GERIATRICS CLINIC
- Practice address
- 633 Gov Carlos G Camacho Rd
Ste. 205
Tamuning, GU 96913-3194 - Phone
- (671) 649-7232
- Fax
- (671) 649-7233
- NPI assigned
- Oct 17, 2012
- Organization subpart
- No
Authorized official
- Name
- Mrs. Stephanie Ann Manibusan Untalan
- Title
- Administrative Assistant
- Phone
- (671) 649-7232
Practitioners 3
-
Faraz Ouhadi, M.D.
-
Saied Safabakhsh, M.D.
-
Steven Andrew Tull, PA C
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | M-1360 | GU | Yes |
Addresses
Primary practice location
633 Gov Carlos G Camacho Rd
Ste. 205
Tamuning, GU 96913-3194
Mailing address
633 Gov Carlos G Camacho Rd
Ste. 205
Tamuning, GU 96913-3194
Phone (671) 649-7232
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063517639 | Other | GU | PROVIDER NPI |
Other providers in Tamuning, GU
- Guam Anesthesia and Pain Service
- Guam Anesthesia Services
- Guam Dermatology Institute LLC
- Guam Dialysis Center, Inc.
- Guam E.N.T., LLC
- Guam Hematology Oncology Associates, Inc.
- Guam Medical Care, LLC
- Guam Medical Equipment and Supplies, LLC
- Guam Medical Equipment, LLC
- Guam Medical Health Care Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.