Healthcare Provider Details
I. General information
NPI: 1073646303
Provider Name (Legal Business Name): AMERICAN GASTROENTEROLOGY AND HEPATOLOGY CONSULTANTS PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/14/2007
Last Update Date: 10/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1831 N BELCHER RD SUITE F-1
CLEARWATER FL
33765-1449
US
IV. Provider business mailing address
1831 N BELCHER RD SUITE F-1
CLEARWATER FL
33765-1449
US
V. Phone/Fax
- Phone: 727-796-4544
- Fax: 727-726-4618
- Phone: 727-796-4544
- Fax: 727-726-4618
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RI0008X |
| Taxonomy | Hepatology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RG0100X |
| Taxonomy | Gastroenterology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SATINDERPAL
SINGH
SONDHI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 727-796-4544