Abdul-Mbacke, Makunda

Abdul-Mbacke, Makunda is an individual health care provider with primary practice located at 6890 Greensboro Rd , Ridgeway VA 24148-3555. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Abdul-Mbacke, Makunda can be contacted via phone (276) 956-1013.

Contact Information

Primary practice address
6890 Greensboro Rd Ridgeway VA 24148-3555
Phone: (276) 956-1013
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2010-02034 North Carolina
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 0101241089 Virginia
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0101241089 Virginia

Profile Details

NPI number 1013995851
LBN Legal business name Abdul-Mbacke, Makunda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Dec 15th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013995851 NPPES
New Jersey MEDICAID 8898405

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