O.Serrano, M.D. PLLC
Internal Medicine, Gastroenterology in San Tan Valley, AZ. Organization (NPI-2).
NPI number1114201290
StatusActive
Last updated in NPPESOct 6, 2011
Details
- NPI
- 1114201290
- Entity type
- Organization (NPI-2)
- Legal business name
- O.Serrano, M.D. PLLC
- Organization subpart
- No
- Enumeration date
- Oct 6, 2011
- Last updated
- Oct 6, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | 29877 | AZ | Yes |
Practice location
37100 N Gantzel RdSan Tan Valley, AZ 85140-7349
Phone 480-461-1135 · Fax 480-461-1138
Mailing address
Po Box 5027Mesa, AZ 85211-5027
Phone 480-461-1135 · Fax 480-461-1138
Authorized official
Oluwagbenga Serrano
President
4804611135
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