Organization Active NPI

Midtown Family Clinic, LLC

  • Primary Care Clinic/Center
  • Yazoo City, MS
National Provider Identifier
1063743706
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MIDTOWN FAMILY CLINIC, LLC
Practice address
129 S Main St
Yazoo City, MS 39194-4007
Phone
(662) 746-8777
NPI assigned
Jan 20, 2010
Last updated
Feb 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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

Authorized official

Name
Dr. Parveen Kumar
Title
Owner
Phone
(601) 720-7605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

129 S Main St
Yazoo City, MS 39194-4007

Mailing address

129 S Main St
Yazoo City, MS 39194-4007
Phone (662) 746-8777

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1063743706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 S MAIN ST",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391944007",
            "telephone_number": "662-746-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 S MAIN ST",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391944007",
            "telephone_number": "662-746-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN FAMILY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "PARVEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-720-7605",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yazoo City, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.