Organization
CLINIC FOR DIGESTIVE DISEASES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMKRISHNA R KOTHUR M.D. (PRESIDENT)
(623) 972-2116
Entity
Organization
Contact information
Practice address
13203 N 103RD AVE, SUN CITY, AZ 85351-3099
(623) 972-2116
(623) 972-0521
Mailing address
13203 N 103RD AVE, SUN CITY, AZ 85351-3099
(623) 972-2116
(623) 972-0521
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002410-02
—
AZ
05
—
208604-02
—
AZ
05
—
250944-02
—
AZ
05
—
268830-02
—
AZ
05
—
788036
—
AZ
05
—
855918
—
AZ
01
—
99S007600002
SUN HLTH/DR BELLAPRAVALU
AZ
01
—
AZ0187530
BCBS/DR PATEL
AZ
01
—
AZ0360800
BCBS/DR PHELPS
AZ
01
—
AZ0361810
BCBS/DR BELLAPRAVAL
AZ
01
—
AZ0727350
BCBS/DR KOTHUR
AZ
01
—
AZ0750990
BCBS DR CHOKSHI
AZ
01
—
AZ0805210
BCBS OF AZ/DR BETTINGER
AZ
Enumeration date
02/15/2006
Last updated
12/15/2009
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