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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