Makona SNF, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K7895 Issued in TX

Legal business name

MAKONA SNF, LLC

Practice address

1016 Riverwood Dr
Longview, TX 75604-6229

Phone

(214) 232-6811

NPI assigned

May 28, 2014

Organization subpart

No

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

Authorized official

Name

Anil Kumar Shinghal, MD

Title

Owner

Phone

(214) 232-6811

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401235200000",
    "number": "1801208673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 RIVERWOOD DR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756046229",
            "telephone_number": "214-232-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 RIVERWOOD DR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756046229",
            "telephone_number": "214-232-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKONA SNF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-28",
        "status": "A",
        "authorized_official_last_name": "SHINGHAL",
        "authorized_official_first_name": "ANIL",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-232-6811",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K7895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simon Lucas Mack, D.D.S.
• Susan M Maddox
• Ugochukwu Ikechi Maduforo, MD
• Madysen House Enterprises
• Leigh Ann Mahjoobi, FNP
• Edward Tamayo Maldonado, C.R.N.A.
• Tariq S Malik, PA
• Amy J Malone, PA-C
• Diana Malone, MD
• David W Maly, CRNA

• Internal Medicine Physician in Longview, TX
• Providers in Longview, 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 May 28, 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.