| Functional and Interventional Gastroenterology PLLC | |
|
6502 Gunn Hwy Tampa FL 33625-4022 | |
| (813) 364-8863 | |
| (813) 738-4889 |
| Full Name | Functional and Interventional Gastroenterology PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 6502 Gunn Hwy, Tampa, Florida |
| Authorized Official Name and Position | Arthi Sanjeevi (PRESIDENT) |
| Authorized Official Contact | 8133648863 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Functional and Interventional Gastroenterology PLLC Po Box 273391 Tampa FL 33688-3391 Ph: (813) 364-8863 | Functional and Interventional Gastroenterology PLLC 6502 Gunn Hwy Tampa FL 33625-4022 Ph: (813) 364-8863 |
| NPI Number | 1891554820 |
|---|---|
| Provider Enumeration Date | 03/13/2024 |
| Last Update Date | 08/11/2026 |
| Certification Date | 08/11/2026 |
| Medicare PECOS PAC ID | 0244671816 |
|---|---|
| Medicare Enrollment ID | O20240514001353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891554820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | () | Primary |
| Provider Name | Arthi Sanjeevi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497768550 PECOS PAC ID: 9537168406 Enrollment ID: I20100917000044 |
| Provider Name | Nely Ochoa Oliveros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306664677 PECOS PAC ID: 2365976099 Enrollment ID: I20241118000197 |
| Provider Name | Katherine Lazzara Kraemer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285472431 PECOS PAC ID: 9032699988 Enrollment ID: I20260218002792 |
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