# WEIGHT LOSS MD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MD Weight Loss
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841813656
- **Authorized official:** SEETHALAKSHMI MAHADEVAN (OWNER)
- **Authorized official phone:** (480) 277-3867

## Contact information

- **Practice address:** 13660 N 94TH DR STE D-3, PEORIA, AZ 85381-4836
- **Practice address phone:** (623) 230-2912
- **Mailing address:** 20340 N LAKE PLEASANT RD STE 109, PEORIA, AZ 85382-9713
- **Mailing address phone:** (623) 299-9988

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/27/2020
- **Last updated:** 05/27/2020