Mulato, Makaya Adisa
Mulato, Makaya Adisa is an sole proprietor health care provider with primary practice located at 190 Thomas Johnson Dr Ste 5 , Frederick MD 21702-4879. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mulato, Makaya Adisa can be contacted via phone (012) 007-4444.Contact Information
Primary practice address
190 Thomas Johnson Dr Ste 5
Frederick MD 21702-4879
Phone: (012) 007-4444
Fax: (833) 907-0576
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D0057961 | Maryland |
Profile Details
| NPI number | 1295712560 |
|---|---|
| LBN Legal business name | Mulato, Makaya Adisa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2005 |
| Last updated | Oct 6th, 2025 - about last year |
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 | 1295712560 | NPPES |
| Maryland | MEDICAID | 412401400 |
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