Mulato, Makaya Adisa

Mulato, Makaya Adisa is an sole proprietor health care provider with primary practice located at 190 Thomas Johnson Dr Ste 5 , Frederick MD 21702. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mulato, Makaya Adisa can be contacted via phone (012) 007-4444.

Contact Information

Primary practice address
190 Thomas Johnson Dr Ste 5 Frederick MD 21702
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0057961 Maryland

Profile Details

NPI number 1295712560
LBN Legal business name Mulato, Makaya Adisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2005
Last updated May 20th, 2021 - about 4 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 1295712560 NPPES
Maryland MEDICAID 412401400

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