Individual
DR. SURESH TEKADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D
Contact information
Practice address
26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
(951) 486-4490
Mailing address
11459 VIA NORTE, LOMA LINDA, CA 92354-3839
(909) 553-0467
Taxonomy
Speciality
Code
Description
License number
State
1835N1003X
Nutrition Support Pharmacist
Primary
42886
CA
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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