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NPI Code Detail

MEDICARE: PATEEL KELEDJIAN

MEDICARE: PATEEL KELEDJIAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1942145404
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATEEL KELEDJIAN
Provider Business Mailing Address
First Line : 20000 N 57TH AVE RM E110
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-6800
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3160 N ARIZONA AVE STE 105
Second Line :
City : CHANDLER
State : AZ
Zip : 85225-7122
Country : US
Telephone Number : 480-365-9981
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2026
Last Update Date : 04/21/2026

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Directions to “ PATEEL KELEDJIAN ” Practice Location

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