MEDICARE: DR. KAMAL HITENDRA MAKATI MD

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	207R00000X	Internal Medicine Physician	ME158020	FL

General Provider Information

NPI Number	:	1417586975
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAMAL HITENDRA MAKATI MD

Provider Business Mailing Address
First Line	:	102 WOODMONT BLVD STE 600
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37205-5250
Country	:	US
Telephone Number	:	615-315-5257
Fax Number	:	615-692-0547

Provider Business Practice Location Address
First Line	:	3346 US HIGHWAY 19
Second Line	:
City	:	HOLIDAY
State	:	FL
Zip	:	34691-1846
Country	:	US
Telephone Number	:	727-615-6702
Fax Number	:

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

Provider Enumeration Date	:	04/06/2020
Last Update Date	:	06/22/2023

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