Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Great Lakes Gastroenterology Consultants, LLC

Organization Gastroenterology Physician · NPI 1821155177

Great Lakes Gastroenterology Consultants, LLC is a Gastroenterology Physician in Oregon, Ohio. Licensed in Ohio. Registered with an NPI since 2007.

Licensed in
OH
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2702 Navarre Ave Ste 106
Oregon, OH 43616-3223
Phone: (419) 696-5555
Fax: (419) 696-8499
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X (OH)

Record details

NPI number1821155177
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sudhakar Pangulur — President · (419) 696-5555
NPI enumeratedJanuary 3, 2007
Last updated in NPPESMay 9, 2008
Mailing address2702 Navarre Ave, Suite 106, Oregon, OH 43616-3223

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