Organization
GASTROINTESTINAL DISEASES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRAVINCHANDRA H. PATEL M.D. (PRESIDENT)
(706) 641-6900
Entity
Organization
Contact information
Practice address
1130 TALBOTTON RD, COLUMBUS, GA 31904-8749
(706) 641-6900
(706) 327-0757
Mailing address
1130 TALBOTTON RD, COLUMBUS, GA 31904-8749
(706) 641-6900
(706) 327-0757
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP2020
MEDICARE PTAN
—
Enumeration date
08/01/2006
Last updated
08/26/2023
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