Abdul-Mbacke, Makunda
Abdul-Mbacke, Makunda is an individual health care provider with primary practice located at 6890 Greensboro Rd , Ridgeway VA 24148-3555. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Abdul-Mbacke, Makunda can be contacted via phone (276) 956-1013.Contact Information
Primary practice address
6890 Greensboro Rd
Ridgeway VA 24148-3555
Phone: (276) 956-1013
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 2010-02034 | North Carolina |
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | 0101241089 | Virginia |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 0101241089 | Virginia |
Profile Details
| NPI number | 1013995851 |
|---|---|
| LBN Legal business name | Abdul-Mbacke, Makunda |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2006 |
| Last updated | Dec 15th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013995851 | NPPES |
| New Jersey | MEDICAID | 8898405 |
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