Provider Demographics
NPI:1073652384
Name:MAKAR, GADALLA (MD)
Entity Type:Individual
Prefix:
First Name:GADALLA
Middle Name:
Last Name:MAKAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 GATTIS SCHOOL RD STE 730
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-2571
Mailing Address - Country:US
Mailing Address - Phone:347-806-7648
Mailing Address - Fax:
Practice Address - Street 1:1000 GATTIS SCHOOL RD STE 730
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-2571
Practice Address - Country:US
Practice Address - Phone:347-806-1648
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0021272084P0800X
NY2426032084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry