Provider Demographics
NPI:1538911318
Name:UNITED GASTROENTEROLOGY ASSOCIATES PLLC
Entity type:Organization
Organization Name:UNITED GASTROENTEROLOGY ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-704-5391
Mailing Address - Street 1:705 S FRY RD STE 235
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-2253
Mailing Address - Country:US
Mailing Address - Phone:346-340-4414
Mailing Address - Fax:346-340-4416
Practice Address - Street 1:705 S FRY RD STE 235
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2253
Practice Address - Country:US
Practice Address - Phone:917-704-5391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-04
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty