Organization
UMBRELLA MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED KHALIL (CEO)
(602) 369-1823
Entity
Organization
Contact information
Practice address
1728 W GLENDALE AVE STE 100, PHOENIX, AZ 85021-8862
(623) 299-8251
Mailing address
7142 N 17TH DR, PHOENIX, AZ 85021-8539
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/08/2025
Last updated
04/13/2026
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