MEDICARE: DR. ASEK NELSON MAKIA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207KA0200X	Allergy Physician	MD16084	DC
2	208000000X	Pediatrics Physician	D0032003	MD
3	207KA0200X	Allergy Physician	D0032003	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083615033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASEK NELSON MAKIA M.D.

Provider Business Mailing Address
First Line	:	PO BOX 429
Second Line	:
City	:	BURTONSVILLE
State	:	MD
Zip	:	20866-0429
Country	:	US
Telephone Number	:	301-324-7338
Fax Number	:

Provider Business Practice Location Address
First Line	:	10274 LAKE ARBOR WAY STE 201
Second Line	:
City	:	MITCHELLVILLE
State	:	MD
Zip	:	20721-3146
Country	:	US
Telephone Number	:	301-324-7338
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	03/04/2020

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Directions to “ DR. ASEK NELSON MAKIA M.D.” Practice Location

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