Provider Demographics
NPI:1568014231
Name:AMERICAN GUT AND LIVER CLINIC LLC
Entity Type:Organization
Organization Name:AMERICAN GUT AND LIVER CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NOOMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GILANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-266-6377
Mailing Address - Street 1:17470 N PACESETTER WAY
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255
Mailing Address - Country:US
Mailing Address - Phone:480-266-6377
Mailing Address - Fax:
Practice Address - Street 1:17470 N PACESETTER WAY
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255
Practice Address - Country:US
Practice Address - Phone:480-266-6377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-12
Last Update Date:2019-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty