Provider Demographics
NPI:1821019241
Name:COLON & DIGESTIVE HEALTH
Entity type:Organization
Organization Name:COLON & DIGESTIVE HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NIZAR
Authorized Official - Middle Name:R
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 RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-1315
Mailing Address - Country:US
Mailing Address - Phone:480-219-6662
Mailing Address - Fax:480-219-6596
Practice Address - Street 1:8761 E BELL RD
Practice Address - Street 2:SUITE 105
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-1315
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:2006-07-21
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0902655207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ71663Medicare PIN