Mobile MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

19254 Issued in SC

Legal business name

MOBILE MD LLC

Practice address

160 Harold Fleming CT
Spartanburg, SC 29303-4226

Phone

(864) 594-9600

NPI assigned

Nov 29, 2016

Last updated

Nov 29, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Raja Paladugu, M.D.

Title

Medical Director

Phone

(864) 436-1021

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1316480049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 HANSA LN",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296504549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 HAROLD FLEMING CT",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293034226",
            "telephone_number": "864-594-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "PALADUGU",
        "authorized_official_first_name": "RAJA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "864-436-1021",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "19705",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "19254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyonda Mitchell-Porter
• Alexandra Mitchell, MD
• Angeliki Anastasia Mitsianis
• Starrcree Mixon, MSW
• Shooka Moallemi, PA-C
• Joseph E Mobley, M.D.
• Modern Wellness Family Counseling, LLC
• Natasha Mofrad, DMD
• Mehrdad M Moghaddam, D.C.
• Amirah Kate Moize, MOT

• Internal Medicine Physician in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.