MEDICARE: DIGESTIVE SPECIALTY CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386763738
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIGESTIVE SPECIALTY CARE INC

Provider Business Mailing Address
First Line	:	3130 N COUNTY ROAD 25A
Second Line	:	SUITE 109
City	:	TROY
State	:	OH
Zip	:	45373-1337
Country	:	US
Telephone Number	:	937-440-9292
Fax Number	:

Provider Business Practice Location Address
First Line	:	450 N HYATT ST
Second Line	:	SUITE 302
City	:	TIPP CITY
State	:	OH
Zip	:	45371-1433
Country	:	US
Telephone Number	:	937-440-9292
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. FAYEZ D. ABBOUD
Credential	:	MD
Telephone Number	:	937-440-9292

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	07/27/2010

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Directions to “DIGESTIVE SPECIALTY CARE INC ” Practice Location

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