Individual
DR. ROY KIYOHARU TERAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1511
(602) 263-1637
Mailing address
PO BOX 31001-0698, PASADENA, CA 91110-0698
(602) 263-1511
(602) 263-1637
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
14222
OK
2080P0210X
Pediatric Nephrology Physician
14222
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406993
—
AZ
01
—
AZ0713430
BCBSAZ
AZ
Enumeration date
09/16/2006
Last updated
07/25/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us