Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A90479 | CA |
N | 111NI0900X | Internist | A90479 | CA |
N | 207RC0200X | Critical Care Medicine | A90479 | CA |
Y | 207RP1001X | Pulmonary Disease | A90479 | CA |
NPI | 1043385685 |
---|---|
Provider Name | Dr. Samir Makani |
First Address | San Diego, CA 92103-9001 |
Second Address | San Diego, CA 92103-9001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2006 |
Last Update Date | 14/07/2009 |