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NPI Code Detail

MEDICARE: WALID FUAD MAKDISI M.D.

MEDICARE: WALID FUAD MAKDISI 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
1207RG0100XGastroenterology Physician0101236763VA

Other Identifiers

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

General Provider Information

NPI Number : 1518941137
Entity Type Code : Individual
Provider Name (Legal Business Name) : WALID FUAD MAKDISI M.D.
Provider Business Mailing Address
First Line : PO BOX 780125
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19178-0125
Country : US
Telephone Number : 804-922-4844
Fax Number :
Provider Business Practice Location Address
First Line : 661 INDEPENDENCE PKWY STE 120
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23320-5114
Country : US
Telephone Number : 757-547-0798
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2005
Last Update Date : 03/18/2026

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