| Siouxland Gastroenterology P C | |
|
101 Tower Road Suite105 Dakota Dunes SD 57049-5072 | |
| (605) 217-4300 | |
| Not Available |
| Full Name | Siouxland Gastroenterology P C |
|---|---|
| Speciality | Internal Medicine |
| Location | 101 Tower Road, Dakota Dunes, South Dakota |
| Authorized Official Name and Position | Michael Persaud (PRESIDENT) |
| Authorized Official Contact | 6052174300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Siouxland Gastroenterology P C 101 Tower Road Suite105 Dakota Dunes SD 57049-5072 Ph: (605) 217-4300 | Siouxland Gastroenterology P C 101 Tower Road Suite105 Dakota Dunes SD 57049-5072 Ph: (605) 217-4300 |
| NPI Number | 1164611372 |
|---|---|
| Provider Enumeration Date | 10/24/2007 |
| Last Update Date | 12/17/2007 |
| Medicare PECOS PAC ID | 5395832752 |
|---|---|
| Medicare Enrollment ID | O20071101000111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164611372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 3500 (South Dakota) | Primary |
| Provider Name | Michael V Persaud |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235192402 PECOS PAC ID: 0648234393 Enrollment ID: I20041112001060 |
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