Makona Snf, LLC

NPI #1801208673 in Longview, Texas

Provider Information

NPI Number: 1801208673
Entity Type: Organization
Organization Name: Makona Snf, LLC
Primary Specialty: Internal Medicine
Enumeration Date: May 28, 2014
Last Updated: May 28, 2014

Practice Location

Address: 1016 RIVERWOOD DR
City: Longview
State: Texas
ZIP Code: 75604-6229
Phone: (214) 232-6811

Authorized Official

Name: ANIL KUMAR SHINGHAL, MD
Title: OWNER
Phone: (214) 232-6811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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