Organization
ADVANCED CARE GASTROENTEROLOGY, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD NAEEMULLAH KHAN M.D. (PRESIDENT)
(602) 307-9112
Entity
Organization
Contact information
Practice address
525 N 18TH ST, SUITE # 601, PHOENIX, AZ 85006-4102
(602) 307-9112
(602) 307-9155
Mailing address
525 N 18TH ST, SUITE # 601, PHOENIX, AZ 85006-4102
(602) 307-9112
(602) 307-9155
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
30038
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
639130
—
AZ
Enumeration date
03/30/2007
Last updated
08/22/2020
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