| Gastro Health Inc | |
|
26021 Business Center Dr Redlands CA 92374-4553 | |
| (909) 796-0363 | |
| Not Available |
| Full Name | Gastro Health Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 26021 Business Center Dr, Redlands, California |
| Authorized Official Name and Position | Kaunteya Reddy (MD) |
| Authorized Official Contact | 9097960363 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastro Health Inc 26021 Business Center Dr Redlands CA 92374-4553 Ph: (909) 796-0363 | Gastro Health Inc 26021 Business Center Dr Redlands CA 92374-4553 Ph: (909) 796-0363 |
| NPI Number | 1821601840 |
|---|---|
| Provider Enumeration Date | 08/28/2020 |
| Last Update Date | 08/28/2020 |
| Medicare PECOS PAC ID | 6709205537 |
|---|---|
| Medicare Enrollment ID | O20200929001251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821601840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Kaunteya Reddy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801129341 PECOS PAC ID: 7810149325 Enrollment ID: I20141007001851 |
| Provider Name | Liam Yi Heng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316331838 PECOS PAC ID: 3173888005 Enrollment ID: I20180524002121 |
| Provider Name | Nguyen T N Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538787056 PECOS PAC ID: 4981095601 Enrollment ID: I20220106001006 |
| Provider Name | Charissa Zima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831987965 PECOS PAC ID: 9931628872 Enrollment ID: I20250523001171 |
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