MEDICARE: TAREK MAKKI

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	207RC0001X	Clinical Cardiac Electrophysiology Physician	4301117288	MI

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

General Provider Information

NPI Number	:	1750709572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAREK MAKKI

Provider Business Mailing Address
First Line	:	311 MACK AVE
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48201-2466
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	311 MACK AVE
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48201-2466
Country	:	US
Telephone Number	:	888-362-2500
Fax Number	:

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

Provider Enumeration Date	:	03/29/2014
Last Update Date	:	03/16/2026

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Directions to “ TAREK MAKKI ” Practice Location

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