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NPI Code Detail

MEDICARE: DR. KANISHK MAKHIJA M.D.

MEDICARE: DR. KANISHK MAKHIJA 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
12084N0400XNeurology PhysicianMD441917PA

General Provider Information

NPI Number : 1144232950
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KANISHK MAKHIJA M.D.
Provider Business Mailing Address
First Line : 206 1/2 S CHURCHILL CIR
Second Line :
City : NORTH SIOUX CITY
State : SD
Zip : 57049-5311
Country : US
Telephone Number : 267-606-3230
Fax Number :
Provider Business Practice Location Address
First Line : 80 SEYMOUR ST
Second Line :
City : HARTFORD
State : CT
Zip : 06106-3300
Country : US
Telephone Number : 860-545-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2006
Last Update Date : 06/28/2022

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