M Lyubich MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

M LYUBICH MD PC

Practice address

340 Boulevard NE
Suite 324
Atlanta, GA 30312-1283

Phone

(404) 523-1864

Fax

(404) 521-9261

NPI assigned

Jun 4, 2007

Organization subpart

No

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

Authorized official

Name

Mikhail Lyubich, MD

Title

Ceo

Phone

(404) 523-1864

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1215139977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3032",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300960052",
            "telephone_number": "404-523-1864",
            "fax_number": "404-521-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 BOULEVARD NE",
            "address_2": "SUITE 324",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121283",
            "telephone_number": "404-523-1864",
            "fax_number": "404-521-9261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M LYUBICH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "LYUBICH",
        "authorized_official_first_name": "MIKHAIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-523-1864",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000816263B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latoya Lyttleton
• Sherishe Lytton, CNM
• Mikhail Lyubich, MD PC
• M & M Service Group Inc
• M H Al Rabbat MD PC
• M. Susann Bedford, MD PC
• M.D. Matthews Corporation
• M.D. Matthews Corporation
• M.D. Matthews Corporation
• M.D. Matthews Corporation

• Internal Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; 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.