Organization Name: | GASTROENTEROLOGY ASSOCIATES OF VENICE & ENGLEWOOD P A |
NPI Number: | 1184635385 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TARIQ J KHAN (MD PRESIDENT) |
Mailing Address: | 8421 Pointe Loop Dr Venice |
State: | FL US |
Postal Code: | 342932232 |
Phone Number: | 9414129787 |
Fax Number: | 9414800388 |
NPI Enumeration Date: | 08/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ME57290 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |