| Colon & Digestive Health Specialists Llc | |
|
1380 Milstead Ave Ne Ste C Conyers GA 30012-3864 | |
| (770) 922-7000 | |
| (770) 922-8070 |
| Full Name | Colon & Digestive Health Specialists Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1380 Milstead Ave Ne, Conyers, Georgia |
| Authorized Official Name and Position | Karim Shakoor (OWNER) |
| Authorized Official Contact | 7709227000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Colon & Digestive Health Specialists Llc 1380 Milstead Ave Ne Ste C Conyers GA 30012-3864 Ph: (770) 922-7000 | Colon & Digestive Health Specialists Llc 1380 Milstead Ave Ne Ste C Conyers GA 30012-3864 Ph: (770) 922-7000 |
| NPI Number | 1275872632 |
|---|---|
| Provider Enumeration Date | 02/05/2013 |
| Last Update Date | 02/05/2013 |
| Medicare PECOS PAC ID | 2769637859 |
|---|---|
| Medicare Enrollment ID | O20130220000479 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275872632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 43282 (Georgia) | Primary |
| Provider Name | Karim K Shakoor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952412579 PECOS PAC ID: 6204868029 Enrollment ID: I20050901000098 |
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