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Organization
WEIGHT LOSS MD
Active
Organization
WEIGHT LOSS MD
Active
Other names
MD Weight Loss
Organization subpart
No
Provider details
NPI number
Authorized official
SEETHALAKSHMI MAHADEVAN (OWNER)
(480) 277-3867
Entity
Organization
Contact information
Practice address
13660 N 94TH DR STE D-3, PEORIA, AZ 85381-4836
(623) 230-2912
Mailing address
20340 N LAKE PLEASANT RD STE 109, PEORIA, AZ 85382-9713
(623) 299-9988
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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