Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | MD035312L | PA |
NPI | 1396706941 |
---|---|
Provider Name | Dr. Adel Z. Makary |
First Address | Danville, PA 17822-3034 |
Second Address | Danville, PA 17822-2001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2006 |
Last Update Date | 11/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000690459 | (05) | PA |
B63286 | (02) |