Gastroenterology Associates Of Venice & Englewood P A
Specialist in Venice, FL. Organization (NPI-2).
NPI number1184635385
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1184635385
- Entity type
- Organization (NPI-2)
- Legal business name
- Gastroenterology Associates Of Venice & Englewood P A
- Organization subpart
- No
- Enumeration date
- Aug 11, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | ME57290 | FL | Yes |
Practice location
8421 Pointe Loop DrVenice, FL 34293-2232
Phone 941-412-9787 · Fax 941-480-0388
Mailing address
Po Box 1764Venice, FL 34284-1764
Phone 941-412-9787 · Fax 941-480-0388
Authorized official
Tariq J Khan
MD President
9414129787
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