Provider Demographics
NPI:1518632637
Name:ARCADIUS CENTER FOR DIGESTIVE AND LIVER HEALTH LLC
Entity Type:Organization
Organization Name:ARCADIUS CENTER FOR DIGESTIVE AND LIVER HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR / PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SYAM
Authorized Official - Middle Name:PRASAD
Authorized Official - Last Name:GADDAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-636-9100
Mailing Address - Street 1:11922 SEACREST DRIVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92840-1937
Mailing Address - Country:US
Mailing Address - Phone:714-636-9100
Mailing Address - Fax:714-636-1806
Practice Address - Street 1:11922 SEACREST DRIVE
Practice Address - Street 2:SUITE A
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92840-1937
Practice Address - Country:US
Practice Address - Phone:714-636-9100
Practice Address - Fax:714-636-1806
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARCADIUS CENTER FOR DIGESTIVE AND LIVER HEALTH LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-08-11
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty