Organization
GHENTMD
Active
Organization
GHENTMD
Active
Other names
GhentMD Integrative Health and Wellness Clinic, GhentMD
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY ASUELIMEN AGHENTA MD (PRESIDENT)
(480) 935-8855
Entity
Organization
Contact information
Practice address
1434 W ELLIOT RD STE 101, GILBERT, AZ 85233-5157
(651) 246-7242
Mailing address
1434 W ELLIOT RD STE 101, GILBERT, AZ 85233-5157
(480) 935-8855
(855) 450-1054
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
550726
—
AZ
Enumeration date
11/09/2018
Last updated
05/15/2021
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