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TEQUA MED-PEDS LLC NPI 1497021679


NPI Information

NPI: 1497021679
Provider Name: TEQUA MED-PEDS LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
601 W RIVERSIDE DR
PARKER, AZ
ZIP 85344
Phone: (928) 669-5550
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TEQUA MED-PEDS LLC is an internal medicine in Parker, AZ. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. TEQUA MED-PEDS LLC NPI is 1497021679. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

601 W RIVERSIDE DR
PARKER, AZ
ZIP 85344-119
Phone: (928) 669-5550

The provider's authorized official is Tequa Salehi-rad .
The authorized official title is Owner/member and has the following contact phone number (928) 669-5550.

The enumeration date for this NPI number is 4/1/2012 and was last updated on 4/1/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics5436ARIZONANo
2207R00000XInternal Medicine5436ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1L-1647527-7OTHERARIZONAAZ-LLC REGISTRATION #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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