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Organization
MAKONA SNF, LLC
Active
Organization
MAKONA SNF, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANIL KUMAR SHINGHAL MD (OWNER)
(214) 232-6811
Entity
Organization
Contact information
Practice address
1016 RIVERWOOD DR, LONGVIEW, TX 75604-6229
(214) 232-6811
Mailing address
1016 RIVERWOOD DR, LONGVIEW, TX 75604-6229
(214) 232-6811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K7895
TX
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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