O.Serrano, M.D. Pllc

LBN: O.Serrano, M.D. Pllc
O.Serrano, M.D. Pllc is an health care organization with primary practice located at 37100 N Gantzel Rd , San Tan Valley AZ 85140-7349. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. O.Serrano, M.D. Pllc can be contacted via phone (480) 461-1135, or through Serrano, Oluwagbenga via phone (480) 461-1135.

Contact Information

Primary practice address
37100 N Gantzel Rd San Tan Valley AZ 85140-7349
Phone: (480) 461-1135
Fax: (480) 461-1138
Website:
Map and Directions
Authorized official contact:
Name: Serrano, Oluwagbenga Doctor of Medicine (MD)
Phone: (480) 461-1135

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 29877 Arizona

Profile Details

NPI number 1114201290
LBN Legal business name O.Serrano, M.D. Pllc
DBA Doing business as
Authorized official Serrano, Oluwagbenga Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2011
Last updated Oct 6th, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114201290 NPPES
Arizona MEDICAID 639396

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