Organization
GASTROENTEROLOGY SPECIALISTS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUSHTAQ AHMAD BUKHARI MD (PRESIDENT)
(828) 437-7702
Entity
Organization
Contact information
Practice address
107B MICA AVE, MORGANTON, NC 28655-8135
(828) 437-7702
(828) 437-7930
Mailing address
107B MICA AVE, MORGANTON, NC 28655-8135
(828) 437-7702
(828) 437-7930
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NC
207RG0100X
Gastroenterology Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10904
BCBS
—
05
—
8919660
—
NC
Enumeration date
06/15/2006
Last updated
12/02/2013
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