| Gilroy Gastro LLC | |
|
9460 N Name Uno Ste 130 Gilroy CA 95020-3532 | |
| (408) 848-8336 | |
| (408) 848-8337 |
| Full Name | Gilroy Gastro LLC |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 9460 N Name Uno Ste 130, Gilroy, California |
| Authorized Official Name and Position | Prince Shah (MANAGING PARTNER) |
| Authorized Official Contact | 4088488336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gilroy Gastro LLC 9460 N Name Uno Ste 130 Gilroy CA 95020-3532 Ph: (408) 848-8336 | Gilroy Gastro LLC 9460 N Name Uno Ste 130 Gilroy CA 95020-3532 Ph: (408) 848-8336 |
| NPI Number | 1336762863 |
|---|---|
| Provider Enumeration Date | 05/19/2020 |
| Last Update Date | 05/19/2020 |
| Certification Date | 05/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336762863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | () | Primary |
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