Agave Family Medicine
Organization Active NPI Family Medicine Physician · Tucson, AZ
NPI 1407809387 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1407809387
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 33407 (AZ)
- Legal business name
- AGAVE FAMILY MEDICINE
- Practice address
- 8710 N Thornydale Rd
Ste 160
Tucson, AZ 85742-5031 - Phone
- (520) 744-2441
- NPI assigned
- May 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Charles A Michieli, MD
- Title
- President
- Phone
- (520) 744-2441
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 33407 | AZ | Yes |
Addresses
Primary practice location
8710 N Thornydale Rd
Ste 160
Tucson, AZ 85742-5031
Mailing address
PO Box 43100
Tucson, AZ 85733-3100
Phone (520) 722-3777
Other providers in Tucson, AZ
- Bianca Borges Afonso
- Sam Afshar
- Agape Hospice & Palliative Care, LLC
- Agape Palliative Care, LLC
- Deepa Agarwal
- Agave Family Medicine & Breast Feeding Support Center LLC
- Agave Mental Wellness Institute
- Agave Surgical Associates PC
- Amanda Maryam Agbannawag
- Agc Plus
All providers in Tucson, AZ · Family Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.