Mhya Clinic PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MHYA CLINIC PLLC

Doing business as

Mhya Clinic Pllc

Practice address

420 N Kimball Ave Ste 140
Southlake, TX 76092-6995

Phone

(817) 583-0575

NPI assigned

Sep 6, 2023

Organization subpart

No

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

Authorized official

Name

Haritha Mikkilineni, MD

Title

Owner

Phone

(817) 583-0575

Specialties & licenses 1

Addresses

Other names 1

• Mhya Clinic Pllc Doing business as

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1629854690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N KIMBALL AVE STE 140",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926995",
            "telephone_number": "817-583-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N KIMBALL AVE STE 140",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926995",
            "telephone_number": "817-583-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MHYA CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "MIKKILINENI",
        "authorized_official_first_name": "HARITHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-583-0575",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mhya Clinic Pllc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mhya Clinic Pllc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Southlake, TX
• Providers in Southlake, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.