| Medical510 LLC | |
|
191 W Buena Vista Dr Tempe AZ 85284-2253 | |
| (773) 971-3268 | |
| Not Available |
| Full Name | Medical510 LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 191 W Buena Vista Dr, Tempe, Arizona |
| Authorized Official Name and Position | Nawal Ahmed Khan (MANAGER) |
| Authorized Official Contact | 7739713268 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical510 LLC 191 W Buena Vista Dr Tempe AZ 85284-2253 Ph: (773) 971-3268 | Medical510 LLC 191 W Buena Vista Dr Tempe AZ 85284-2253 Ph: (773) 971-3268 |
| NPI Number | 1669195137 |
|---|---|
| Provider Enumeration Date | 09/20/2022 |
| Last Update Date | 09/20/2022 |
| Certification Date | 09/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669195137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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