| Gastroenterology Associates Inc | |
|
4665 Belpar St Nw Canton OH 44718-3602 | |
| (330) 493-1480 | |
| (330) 493-6805 |
| Full Name | Gastroenterology Associates Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4665 Belpar St Nw, Canton, Ohio |
| Authorized Official Name and Position | Sanjiv K Khuller (DOCTOR) |
| Authorized Official Contact | 3304931480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Associates Inc Po Box 36329 Canton OH 44735-6329 Ph: (330) 493-1480 | Gastroenterology Associates Inc 4665 Belpar St Nw Canton OH 44718-3602 Ph: (330) 493-1480 |
| NPI Number | 1124173596 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6507890241 |
|---|---|
| Medicare Enrollment ID | O20080213000303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124173596 | NPI | - | NPPES |
| 0865881 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0048A5 131 (Ohio) | Primary |
| Provider Name | Michael Sumner Gurney |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235134321 PECOS PAC ID: 1759280639 Enrollment ID: I20101215000651 |
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