MEDICARE: JOSHUA MAKHOUL 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	207VM0101X	Maternal & Fetal Medicine Physician	62535	AZ

General Provider Information

NPI Number	:	1821402793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA MAKHOUL MD

Provider Business Mailing Address
First Line	:	PO BOX 33269
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85067-3269
Country	:	US
Telephone Number	:	602-406-4786
Fax Number	:

Provider Business Practice Location Address
First Line	:	10214 N TATUM BLVD STE A600
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85028-4247
Country	:	US
Telephone Number	:	602-406-1530
Fax Number	:

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

Provider Enumeration Date	:	06/18/2014
Last Update Date	:	03/18/2026

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