Makogonov, Alexey
Makogonov, Alexey is an individual health care provider with primary practice located at 85 Herrick St , Beverly MA 01915-1776. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Makogonov, Alexey can be contacted via phone (978) 922-3000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 151220 | Massachusetts |
Profile Details
| NPI number | 1417944877 |
|---|---|
| LBN Legal business name | Makogonov, Alexey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Jan 3rd, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417944877 | NPPES |
| Massachusetts | MEDICAID | 3157130 |
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