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NPI Code Detail

MEDICARE: DR. LINDA RITA MAKDESI M.D.

MEDICARE:  DR. LINDA RITA MAKDESI  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
1207R00000XInternal Medicine Physician125048750IL

General Provider Information

NPI Number : 1063623262
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINDA RITA MAKDESI M.D.
Provider Business Mailing Address
First Line : 2500 W UTOPIA RD
Second Line : STE. 100
City : PHOENIX
State : AZ
Zip : 85027-4171
Country : US
Telephone Number : 602-214-6148
Fax Number : 602-214-6149
Provider Business Practice Location Address
First Line : 18404 N TATUM BLVD STE 101
Second Line :
City : PHOENIX
State : AZ
Zip : 85032-1511
Country : US
Telephone Number : 602-992-1900
Fax Number : 602-485-7440
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2007
Last Update Date : 09/25/2013

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Directions to “ DR. LINDA RITA MAKDESI M.D.” Practice Location

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