Provider Demographics
NPI:1467995951
Name:TONY MAKHLOUF MD INC
Entity Type:Organization
Organization Name:TONY MAKHLOUF MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TONY
Authorized Official - Middle Name:
Authorized Official - Last Name:MAKHLOUF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-842-1793
Mailing Address - Street 1:143 PARROT LN
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-3151
Mailing Address - Country:US
Mailing Address - Phone:805-842-1793
Mailing Address - Fax:866-624-1228
Practice Address - Street 1:143 PARROT LN
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-3151
Practice Address - Country:US
Practice Address - Phone:805-842-1793
Practice Address - Fax:866-624-1228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-01
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty