Provider Demographics
NPI:1801943949
Name:CENTER FOR DIGESTIVE CARE INC
Entity type:Organization
Organization Name:CENTER FOR DIGESTIVE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BELUR
Authorized Official - Middle Name:
Authorized Official - Last Name:SREENATH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-345-5500
Mailing Address - Street 1:3901 66TH ST N
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33709-4949
Mailing Address - Country:US
Mailing Address - Phone:727-345-5500
Mailing Address - Fax:727-345-6164
Practice Address - Street 1:3901 66TH ST N
Practice Address - Street 2:SUITE 201
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33709-4949
Practice Address - Country:US
Practice Address - Phone:727-345-5500
Practice Address - Fax:727-345-6164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2008-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
38969OtherBCBS FLORIDA
CG5974OtherRAILROAD MEDICARE
2292472OtherAETNA
CG5974OtherRAILROAD MEDICARE