| Southwest Gastroenterology Llc | |
|
3400 N Dysart Rd Ste G127 Avondale AZ 85392-1011 | |
| (623) 322-0323 | |
| (623) 322-0757 |
| Full Name | Southwest Gastroenterology Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3400 N Dysart Rd Ste G127, Avondale, Arizona |
| Authorized Official Name and Position | Rajeswari Anaparthy (PROPRIETOR) |
| Authorized Official Contact | 4097891643 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Gastroenterology Llc 3400 N Dysart Rd Ste G127 Avondale AZ 85392-1011 Ph: (236) 322-0323 | Southwest Gastroenterology Llc 3400 N Dysart Rd Ste G127 Avondale AZ 85392-1011 Ph: (623) 322-0323 |
| NPI Number | 1356871123 |
|---|---|
| Provider Enumeration Date | 06/14/2017 |
| Last Update Date | 02/19/2024 |
| Medicare PECOS PAC ID | 4183996895 |
|---|---|
| Medicare Enrollment ID | O20170815003846 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356871123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Rajeswari Anaparthy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467656058 PECOS PAC ID: 6406907229 Enrollment ID: I20170816003636 |
| Provider Name | Aravind Sugumar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124222716 PECOS PAC ID: 1153408075 Enrollment ID: I20190109000915 |
| Provider Name | Niel Naresh Dave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487187761 PECOS PAC ID: 3375911647 Enrollment ID: I20230420002034 |
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