Individual
DR. PEDRO VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1068 CRESTHAVEN RD STE 300, MEMPHIS, TN 38119-0809
(901) 683-0024
(901) 683-0086
Mailing address
6074 APPLE TREE DR STE 10, MEMPHIS, TN 38115-0300
(901) 922-5951
(901) 922-5952
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35089
TN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
35089
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1519876
—
TN
Enumeration date
05/02/2006
Last updated
04/06/2020
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