Provider Demographics
NPI:1073646303
Name:AMERICAN GASTROENTEROLOGY AND HEPATOLOGY CONSULTANTS PA
Entity Type:Organization
Organization Name:AMERICAN GASTROENTEROLOGY AND HEPATOLOGY CONSULTANTS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SATINDERPAL
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:SONDHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-796-4544
Mailing Address - Street 1:1831 N BELCHER RD
Mailing Address - Street 2:SUITE F-1
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-1449
Mailing Address - Country:US
Mailing Address - Phone:727-796-4544
Mailing Address - Fax:727-726-4618
Practice Address - Street 1:1831 N BELCHER RD
Practice Address - Street 2:SUITE F-1
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-1449
Practice Address - Country:US
Practice Address - Phone:727-796-4544
Practice Address - Fax:727-726-4618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
No207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL253163100Medicaid
FL253163100Medicaid