My Doctor Clinic PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MY DOCTOR CLINIC PLLC

Practice address

5920 100TH St SW Ste a
Tacoma, WA 98499-2751

Phone

(734) 272-9031

NPI assigned

Jun 11, 2024

Organization subpart

No

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

Authorized official

Name

Khaled M Darwesh, MDNPI 1265963805

Title

Owner of the Entity

Phone

(734) 272-9031

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Khaled M Darwesh, MD

  • Internal Medicine Physician
  • Olympia, WA
  • NPI 1265963805
  NPD Authorized official

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1073355863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 100TH ST SW STE A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984992751",
            "telephone_number": "734-272-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 100TH ST SW STE A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984992751",
            "telephone_number": "734-272-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY DOCTOR CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "DARWESH",
        "authorized_official_first_name": "KHALED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER OF THE ENTITY",
        "authorized_official_telephone_number": "734-272-9031",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresia Mwangi
• Treza Wambui Mwangi
• Erick Mwaniki
• Patrick Waweru Mwaura, RN
• George Njuguna Mwicigi, PROVIDER
• My Hearing Centers, LLC
• My Service Mind (Angel of My Service Mind)
• Gillian A Myers, L.M.P
• Jamaica Myers
• Jason Edward Myers, L.M.H.C.

• Internal Medicine Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.