Provider Demographics
NPI:1861073355
Name:NATHAN DIGESTIVECARE LLC
Entity type:Organization
Organization Name:NATHAN DIGESTIVECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMASAMY
Authorized Official - Middle Name:SWAMI
Authorized Official - Last Name:NATHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-452-9397
Mailing Address - Street 1:4101 NW 4TH ST STE 104
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-2839
Mailing Address - Country:US
Mailing Address - Phone:954-686-2980
Mailing Address - Fax:
Practice Address - Street 1:4101 NW 4TH ST STE 104
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2839
Practice Address - Country:US
Practice Address - Phone:954-686-2980
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-16
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty