Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 35078447 | OH |
NPI | 1013912211 |
---|---|
Provider Name | Dr. Ashok P Makadia |
First Address | Lorain, OH 44053-1652 |
Second Address | Lorain, OH 44053-1652 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2005 |
Last Update Date | 04/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2204484 | (05) | OH |
3025372 | (05) | OH |
G65874 | (02) | OH |