Organization Active NPI

Weight Loss MD

  • Family Medicine Physician
  • Peoria, AZ
National Provider Identifier
1841813656
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WEIGHT LOSS MD
Practice address
13660 N 94TH Dr Ste D-3
Peoria, AZ 85381-4836
Phone
(623) 230-2912
NPI assigned
May 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Seethalakshmi Mahadevan
Title
Owner
Phone
(480) 277-3867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

13660 N 94TH Dr Ste D-3
Peoria, AZ 85381-4836

Mailing address

20340 N Lake Pleasant Rd Ste 109
Peoria, AZ 85382-9713
Phone (623) 299-9988

Other names 1

  • MD Weight Loss Doing business as

National Provider Directory

National Provider Directory

Locations

13660 N 94th Dr
Ste D3
Peoria, AZ 85381
Phone (480) 450-4511

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1841813656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20340 N LAKE PLEASANT RD STE 109",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853829713",
            "telephone_number": "623-299-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13660 N 94TH DR STE D-3",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814836",
            "telephone_number": "623-230-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEIGHT LOSS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "MAHADEVAN",
        "authorized_official_first_name": "SEETHALAKSHMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-277-3867"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MD Weight Loss",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.