Organization
GASTROENTEROLOGY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANJIV KHETARPAL MD (DOCTOR)
(330) 493-1480
Entity
Organization
Contact information
Practice address
4665 BELPAR ST NW, CANTON, OH 44718-3602
(330) 493-1480
(330) 493-6805
Mailing address
PO BOX 36329, CANTON, OH 44735-6329
(330) 493-1480
(330) 493-6805
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0405565
—
OH
Enumeration date
01/24/2007
Last updated
08/22/2020
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