Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 78355 | MD |
NPI | 1013201458 |
---|---|
Provider Name | Rakesh Makadia |
First Address | Rockville, MD 20850-3357 |
Second Address | Rockville, MD 20850-3357 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2011 |
Last Update Date | 23/07/2019 |