Modern Gastroenterology
NPI #1003505157 in Siloam Springs, Arkansas
Provider Information
- NPI Number
- 1003505157
- Entity Type
- Organization
- Organization Name
- Modern Gastroenterology
- Primary Specialty
- Internal Medicine - Gastroenterology
- Enumeration Date
- May 4, 2023
- Last Updated
- May 4, 2023
Practice Location
- Address
- 102 E CENTRAL ST
- City
- Siloam Springs
- State
- Arkansas
- ZIP Code
- 72761-3100
- Phone
- (479) 335-5511
Authorized Official
- Name
- THUSHA NATHAN, MD
- Title
- PRACTITIONER
- Phone
- (479) 335-5511
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Gastroenterology — Gastroenterology |
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