Mr Siyanda Obed Mquqwana, OT is a
Occupational Therapist based in San Luis, Arizona. Mr Siyanda Obed Mquqwana is licensed to practice in Arizona (license number 2855) and his current practice location is
1453 N Main Street, Suite F, San Luis, Arizona. He can be reached at his office (for appointments etc.) via phone at
(928) 627-6567.
NPI number for Mr Siyanda Obed Mquqwana is 1164557724 and his current mailing address is 1215 W 13th Pl, Yuma, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164557724.
Healthcare Provider's Profile
| Full Name | Mr Siyanda Obed Mquqwana |
|---|
| Gender | Male |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 1453 N Main Street, San Luis, Arizona |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1164557724
- Provider Enumeration Date: 02/23/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Siyanda Obed Mquqwana such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164557724 | NPI | - | NPPES |
| 719643 | Other | AZ | AHCCCS PROVIDER ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 2855 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Siyanda Obed Mquqwana is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Siyanda Obed Mquqwana, OT
1215 W 13th Pl,
Yuma, AZ 85364-4480
Ph: (928) 317-0128 | Mr Siyanda Obed Mquqwana, OT
1453 N Main Street, Suite F,
San Luis, AZ 85349
Ph: (928) 627-6567 |
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