| MD Weight Loss | |
|
13660 N 94th Dr Ste D-3 Peoria AZ 85381-4836 | |
| (623) 230-2912 | |
| Not Available |
| Full Name | MD Weight Loss |
|---|---|
| Speciality | Family Medicine |
| Location | 13660 N 94th Dr Ste D-3, Peoria, Arizona |
| Authorized Official Name and Position | Seethalakshmi Mahadevan (OWNER) |
| Authorized Official Contact | 4802773867 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| MD Weight Loss 20340 N Lake Pleasant Rd Ste 109 Peoria AZ 85382-9713 Ph: (623) 299-9988 | MD Weight Loss 13660 N 94th Dr Ste D-3 Peoria AZ 85381-4836 Ph: (623) 230-2912 |
| NPI Number | 1841813656 |
|---|---|
| Provider Enumeration Date | 05/27/2020 |
| Last Update Date | 05/27/2020 |
| Certification Date | 05/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841813656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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