Organization
CENTER FOR GASTROINTESTINAL HEALTH, SC
Active
Organization
CENTER FOR GASTROINTESTINAL HEALTH, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKEEL AHMED MD (PRESIDENT)
(618) 239-0678
Entity
Organization
Contact information
Practice address
5023 N ILLINOIS ST, FAIRVIEW HEIGHTS, IL 62208-3453
(618) 239-0678
(618) 235-0471
Mailing address
5023 N ILLINOIS ST, FAIRVIEW HEIGHTS, IL 62208-3453
(618) 239-0678
(618) 235-0471
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036072761
IL
207RG0100X
Gastroenterology Physician
Primary
036107831
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC1913
RAILROAD MEDICARE
IL
Enumeration date
07/20/2007
Last updated
10/09/2014
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