Organization
REDDY GI ASSOCIATES
Active
Other names
AZ Gastro Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAE H. KIM MD (MEDICAL DIRECTOR)
(480) 393-0575
Entity
Organization
Contact information
Practice address
5555 E BASELINE RD, MESA, AZ 85206-4709
(480) 393-0575
(480) 704-4019
Mailing address
5555 E BASELINE RD, MESA, AZ 85206-4709
(480) 393-0575
(480) 704-4019
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
36640
AZ
208600000X
Surgery Physician
36640
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194943
—
AZ
Enumeration date
08/21/2009
Last updated
06/11/2025
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