| Arizona Gastro Care Pllc | |
|
10238 E Hampton Ave #305 Mesa AZ 85209-3316 | |
| (480) 553-9277 | |
| (866) 630-8347 |
| Full Name | Arizona Gastro Care Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10238 E Hampton Ave, Mesa, Arizona |
| Authorized Official Name and Position | Shabaz A. Qureshi (PROPRIETOR) |
| Authorized Official Contact | 4805539277 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Gastro Care Pllc 11445 E Via Linda #2139 Scottsdale AZ 85259-2655 Ph: (480) 553-9277 | Arizona Gastro Care Pllc 10238 E Hampton Ave #305 Mesa AZ 85209-3316 Ph: (480) 553-9277 |
| NPI Number | 1164775698 |
|---|---|
| Provider Enumeration Date | 10/22/2012 |
| Last Update Date | 07/11/2023 |
| Medicare PECOS PAC ID | 5496907511 |
|---|---|
| Medicare Enrollment ID | O20121218000122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164775698 | NPI | - | NPPES |
| 375234 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 40783 (Arizona) | Primary |
| Provider Name | Shahbaz Qureshi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548370109 PECOS PAC ID: 0840210571 Enrollment ID: I20081215000326 |
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