Makdad, Bonita J

Makdad, Bonita J is an individual health care provider with primary practice located at 412 Libbie Ave Suite 4, Richmond VA 23226-2659. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Makdad, Bonita J can be contacted via phone (804) 282-8082.

Contact Information

Primary practice address
412 Libbie Ave Suite 4 Richmond VA 23226-2659
Phone: (804) 282-8082
Fax: (804) 282-9082
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 0101042245 Virginia

Profile Details

NPI number 1144280652
LBN Legal business name Makdad, Bonita J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144280652 NPPES
Virginia MEDICAID 06707432

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