Organization
GASTROENTEROLOGY CONSULTANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VEDHAGIRI SELVAKUMAR (OWNER)
(712) 323-1230
Entity
Organization
Contact information
Practice address
801 HARMONY ST, SUITE 201, COUNCIL BLUFFS, IA 51503-3106
(712) 323-1230
(712) 323-7500
Mailing address
801 HARMONY ST, SUITE 201, COUNCIL BLUFFS, IA 51503-3106
(712) 323-1230
(712) 323-7500
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0092346
—
IA
Enumeration date
06/01/2006
Last updated
08/31/2007
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