Provider Demographics
NPI:1891872636
Name:ASSOCIATES IN GASTROENTEROLOGY, PC
Entity Type:Organization
Organization Name:ASSOCIATES IN GASTROENTEROLOGY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR PHYSICAN
Authorized Official - Prefix:DR
Authorized Official - First Name:EGHIERHUA
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:UGHEOKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-883-0098
Mailing Address - Street 1:400 WHITESPORT DR SW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-6452
Mailing Address - Country:US
Mailing Address - Phone:256-883-0098
Mailing Address - Fax:256-883-0733
Practice Address - Street 1:400 WHITESPORT DR SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-6452
Practice Address - Country:US
Practice Address - Phone:256-883-0098
Practice Address - Fax:256-883-0733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00026282261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALG85544Medicare UPIN