Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | D0032003 | MD |
N | 207KA0200X | Allergist | MD16084 | DC |
N | 208000000X | Pediatrician | D0032003 | MD |
NPI | 1083615033 |
---|---|
Provider Name | Dr. Asek Nelson Makia |
First Address | Burtonsville, MD 20866-0429 |
Second Address | Mitchellville, MD 20721-3146 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2005 |
Last Update Date | 04/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
029477600 | (05) | DC |
377591700 | (05) | MD |