Provider Demographics
NPI:1174818421
Name:CARATAO, MAKRISTY (MD)
Entity Type:Individual
Prefix:
First Name:MAKRISTY
Middle Name:
Last Name:CARATAO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10413 SE 244TH ST
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98030-4961
Mailing Address - Country:US
Mailing Address - Phone:253-852-2770
Mailing Address - Fax:253-852-6720
Practice Address - Street 1:10413 SE 244TH ST
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98030-4961
Practice Address - Country:US
Practice Address - Phone:253-852-2770
Practice Address - Fax:253-852-6720
Is Sole Proprietor?:No
Enumeration Date:2011-06-15
Last Update Date:2017-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60463491207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine