Provider Demographics
NPI:1164800041
Name:SCOTTSDALE GASTROENTEROLOGY SPECIALISTS,LLC
Entity Type:Organization
Organization Name:SCOTTSDALE GASTROENTEROLOGY SPECIALISTS,LLC
Other - Org Name:SCOTTSDALE GASTRONENTEROLOGISTS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:S. JAFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:KAZI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-219-6662
Mailing Address - Street 1:8761 E BELL RD
Mailing Address - Street 2:#105
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-1315
Mailing Address - Country:US
Mailing Address - Phone:480-219-6662
Mailing Address - Fax:480-219-6596
Practice Address - Street 1:3271 N CIVIC CENTER PLZ
Practice Address - Street 2:#2
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6990
Practice Address - Country:US
Practice Address - Phone:480-949-1260
Practice Address - Fax:480-947-4702
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARIZONA GASTROINTESTINAL ASSOCIATES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-05-12
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty