Medical510 LLC

NPI #1669195137 in Tempe, Arizona

Provider Information

NPI Number: 1669195137
Entity Type: Organization
Organization Name: Medical510 LLC
Primary Specialty: Internal Medicine
Enumeration Date: Sep 20, 2022
Last Updated: Sep 20, 2022

Practice Location

Address: 191 W BUENA VISTA DR
City: Tempe
State: Arizona
ZIP Code: 85284-2253
Phone: (773) 971-3268

Authorized Official

Name: DR. NAWAL AHMED KHAN, MD
Title: MANAGER
Phone: (773) 971-3268

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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