Tequa Ann Salehi-rad D.O.

NPI 1922143106 - Pediatrics - 208000000X

NPI Details
NPI 1922143106
Gender Female
Enumeration Date 02/21/2007
Last Updated 08/19/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
101 CIVIC CENTER LN
POLARIS MEDICAL GROUP
LAKE HAVASU CITY AZ, 86403-5607, US
Phone (928) 854-0002
Fax (928) 453-0885
Business Location
101 CIVIC CENTER LN
POLARIS MEDICAL GROUP, LLC
LAKE HAVASU CITY AZ, 86403-5607, US
Phone (928) 854-0002
Fax (928) 453-0885
Toxanomy
Taxonomy Code 208000000X
License State Arizona
License Number 005436
Remove 1922143106 NPI Number
 

According to our database, Tequa Ann Salehi-rad D.O. NPI is 1922143106, taxonomy code is 208000000X and license number is 005436, license state is located at Arizona. Tequa Ann Salehi-rad D.O. physically located at 101 Civic Center Ln, Lake Havasu City AZ, 86403-5607. NPI Number Tequa Ann Salehi-rad D.O. has the Individual type.

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1922143106 NPI number is provided on an as is basis without warranty of any kind. 1922143106 is maintained by the National Plan & Provider Enumeration System. The contents of Tequa Ann Salehi-rad D.O. are for informational purposes only.