| Gi Diagnostics, Llc | |
|
4805 Nw 2nd Ave Boca Raton FL 33431-4141 | |
| (203) 988-0567 | |
| Not Available |
| Full Name | Gi Diagnostics, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4805 Nw 2nd Ave, Boca Raton, Florida |
| Authorized Official Name and Position | Michael Harris Nathanson (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5619610208 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gi Diagnostics, Llc 4805 Nw 2nd Ave Boca Raton FL 33431-4141 Ph: (561) 961-0208 | Gi Diagnostics, Llc 4805 Nw 2nd Ave Boca Raton FL 33431-4141 Ph: (203) 988-0567 |
| NPI Number | 1396500633 |
|---|---|
| Provider Enumeration Date | 02/15/2024 |
| Last Update Date | 04/02/2026 |
| Medicare PECOS PAC ID | 7315482973 |
|---|---|
| Medicare Enrollment ID | O20240709000094 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396500633 | NPI | - | NPPES |
| 127362200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Vijay Adimoolam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588693857 PECOS PAC ID: 1658375852 Enrollment ID: I20240701001508 |
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