Tequa Med-Peds LLC

NPI #1497021679 in Parker, Arizona

Provider Information

NPI Number: 1497021679
Entity Type: Organization
Organization Name: Tequa Med-Peds LLC
Primary Specialty: Internal Medicine
Enumeration Date: Apr 1, 2012
Last Updated: Apr 1, 2012

Practice Location

Address: 601 W RIVERSIDE DR
City: Parker
State: Arizona
ZIP Code: 85344-5119
Phone: (928) 669-5550

Authorized Official

Name: TEQUA SALEHI-RAD, D.O.
Title: OWNER/MEMBER
Phone: (928) 669-5550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Internal Medicine	207R00000X	Primary

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