Active NPI
Ksaleh LLC
- Internal Medicine Physician
- McKinney, TX
National Provider Identifier
1285249706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- KSALEH LLC
- Practice address
- 4201 Medical Center Dr Ste 200
McKinney, TX 75069-1769 - Phone
- (214) 934-9267
- Fax
- (469) 930-0197
- NPI assigned
- Sep 11, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sadia Aziz, OFFICE MANGER
- Title
- Office Manager
- Phone
- (214) 934-9267
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
4201 Medical Center Dr Ste 200
McKinney, TX 75069-1769
Mailing address
720 Frisco Hills Blvd
Little Elm, TX 75068-5297
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 414950201 | Medicaid | TX |
Other names 1
- Greenville Medical Clinic
National Provider Directory
National Provider DirectoryLocations
4201 Medical Center Dr
McKinney, TX 75069
Phone (214) 537-0703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606694400000",
"number": "1285249706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 FRISCO HILLS BLVD",
"city": "LITTLE ELM",
"state": "TX",
"postal_code": "750685297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 MEDICAL CENTER DR STE 200",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750691769",
"telephone_number": "214-934-9267",
"fax_number": "469-930-0197"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KSALEH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-11",
"last_updated": "2020-11-30",
"certification_date": "2020-09-30",
"status": "A",
"authorized_official_last_name": "AZIZ",
"authorized_official_first_name": "SADIA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "214-934-9267",
"authorized_official_credential": "OFFICE MANGER"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "414950201",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Greenville Medical Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Greenville Medical Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.