<Unavail>
LBN: Ghentmd
<Unavail> is an health care organization with primary practice located at 1434 W Elliot Rd Ste 101 , Gilbert AZ 85233-5157. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Primary Care. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Ghentmd can be contacted via phone (651) 246-7242, or through Aghenta, Anthony Asuelimen via phone (480) 935-8855.
Contact Information
Primary practice address
1434 W Elliot Rd Ste 101
Gilbert AZ 85233-5157
Phone: (651) 246-7242
Fax:
Website:
Authorized official contact:
Name: Aghenta, Anthony Asuelimen Doctor of Medicine (MD)
Phone: (480) 935-8855
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X |
Profile Details
| NPI number | 1740758515 |
|---|---|
| LBN Legal business name | Ghentmd |
| DBA Doing business as | <Unavail> |
| Authorized official | Aghenta, Anthony Asuelimen Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 9th, 2018 |
| Last updated | May 15th, 2021 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740758515 | NPPES |
| Arizona | MEDICAID | 550726 |
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