| Organization Name: | CENTRAL ARIZONA GI AND LIVER INSTITUTE |
| NPI Number: | 1164871075 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUDHAKAR REDDY (OWNER) |
| Mailing Address: | 9681 N 56th St Paradise Valley |
| State: | AZ US |
| Postal Code: | 852531771 |
| Phone Number: | 4803840783 |
| Fax Number: | 4807044019 |
| NPI Enumeration Date: | 06/10/2016 |
| NPI Last Update Date: | 06/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Endoscopy |
| Taxonomy Definition: | |