Organization
PEDIATRIC GASTROENTEROLOGY INC
Active
Other names
Pediatric Gastroenterology of Alaska
Organization subpart
No
Provider details
NPI number
Authorized official
AJAY D GOHIL MD (OWNER/PROVIDER)
(907) 770-2880
Entity
Organization
Contact information
Practice address
4500 BUSINESS PARK BLVD, SUITE C-10, ANCHORAGE, AK 99503
(907) 770-2880
(907) 770-2882
Mailing address
PO BOX 241769, ANCHORAGE, AK 99524-1769
(907) 770-2380
(907) 770-2390
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
ME101913
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015979100
—
FL
Enumeration date
03/10/2017
Last updated
01/25/2021
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