Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 058617 | GA |
N | 207P00000X | Emergency Physician | DO-860 | AL |
Y | 207Q00000X | Family Doctor | 058617 | GA |
NPI | 1487683157 |
---|---|
Provider Name | Sarandeep K. Makkar |
First Address | Atlanta, GA 30305-1717 |
Second Address | Lithonia, GA 30058-4865 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 13/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009935858 | (05) | AL |
009936719 | (05) | AL |
009936721 | (05) | AL |
009936722 | (05) | AL |
51533396 | BLUE CROSS (01) | AL |
51533397 | BLUE CROSS (01) | AL |
51533398 | BLUE CROSS (01) | AL |
51533400 | BLUE CROSS (01) | AL |