Provider Demographics
NPI:1336272657
Name:ARIZONA DIGESTIVE CENTER, P.C.
Entity Type:Organization
Organization Name:ARIZONA DIGESTIVE CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NIZAR
Authorized Official - Middle Name:N
Authorized Official - Last Name:RAMZAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-219-6662
Mailing Address - Street 1:8761 E. BELL ROAD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260
Mailing Address - Country:US
Mailing Address - Phone:480-419-7500
Mailing Address - Fax:480-419-2700
Practice Address - Street 1:8761 E BELL RD
Practice Address - Street 2:STE 101
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-1316
Practice Address - Country:US
Practice Address - Phone:480-219-6662
Practice Address - Fax:480-219-6596
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOSC3616261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ104621Medicare ID - Type Unspecified
AZ104621Medicare UPIN