MJKD Enterprises LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MJKD ENTERPRISES LLC

Practice address

755 Ontario St
Shreveport, LA 71106-1629

Phone

(210) 209-9239

NPI assigned

Jun 14, 2021

Organization subpart

No

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

Authorized official

Name

Mohammad-Hesam Akbarian-Tefaghi, MDNPI 1801328034

Title

Owner

Phone

(210) 209-9239

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 1

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

• Mohammad-Hesam Akbarian-Tefaghi, MD

  • Hospitalist Physician
  • Shreveport, LA
  • NPI 1801328034

  Internal Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1306414529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 ONTARIO ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711061629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 ONTARIO ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711061629",
            "telephone_number": "210-209-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJKD ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "AKBARIAN-TEFAGHI",
        "authorized_official_first_name": "MOHAMMAD-HESAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-209-9239",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "officeally",
            "affiliation": "N",
            "address_1": "755 Ontario St",
            "city": "Shreveport",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711061629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shewanna Mitchell
• Threase Y Mitchell, NP
• Tiffany Lin Mitchell, PHARMD
• Tyechia Mitchell, MHS
• Raghav Mittal, MD
• Mary Mladenka-Dowden, FNP-BC
• MLD and Associates
• Mmo of Shreveport, LLC
• Mobile Foot Specialist, Inc
• Mobile X-Ray Services LLC

• Internal Medicine Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.