# MINA MICHAEL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912789835
- **Authorized official:** MINA MICHAEL KAMEL MICHAEL MD (OWNER OF ENTITY)
- **Authorized official phone:** (346) 907-4805

## Contact information

- **Practice address:** 1355 DAVE WARD DR STE 102, CONWAY, AR 72034-7082
- **Practice address phone:** (346) 907-4805
- **Mailing address:** PO BOX 242198, LITTLE ROCK, AR 72223-0021
- **Mailing address phone:** (346) 907-4805

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/16/2023
- **Last updated:** 05/06/2024