Provider Demographics
NPI:1093987539
Name:NORTH VALLEY G.I. CONSULTANTS
Entity Type:Organization
Organization Name:NORTH VALLEY G.I. CONSULTANTS
Other - Org Name:NORTH VALLEY G.I. CONSULTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MAHENDRA
Authorized Official - Middle Name:N
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-526-6016
Mailing Address - Street 1:1156 SWALLOW LN
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-3154
Mailing Address - Country:US
Mailing Address - Phone:805-526-6016
Mailing Address - Fax:805-791-3992
Practice Address - Street 1:1156 SWALLOW LN
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-3154
Practice Address - Country:US
Practice Address - Phone:805-526-6016
Practice Address - Fax:805-791-3992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-25
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW15305Medicare UPIN
CABC602AMedicare UPIN