MLM Family LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

42064 Issued in AZ

Legal business name

MLM FAMILY LLC

Practice address

15410 S Mountain Pkwy
Suite 105
Phoenix, AZ 85044-6691

Phone

(602) 339-3669

NPI assigned

Jul 24, 2014

Organization subpart

No

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

Authorized official

Name

Lana Khatib, PA-C

Title

Provider

Phone

(602) 339-3669

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1245648088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 E GLENHAVEN DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850488122",
            "telephone_number": "602-339-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15410 S MOUNTAIN PKWY",
            "address_2": "SUITE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850446691",
            "telephone_number": "602-339-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLM FAMILY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "KHATIB",
        "authorized_official_first_name": "LANA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "602-339-3669",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "42064",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "5212",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mkel Limited
• MKG Internal Medicine PLLC
• ML Anesthesia PLLC
• Tzvetelina Mladenova, D.M.D.
• Mleveringlc
• MND Global Health
• MND Health Services Inc
• Christina J Mneimne
• Pouyan Moabed, OWNER
• Kirstin D Moaney

• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.