Provider Demographics
NPI:1346478344
Name:MAKHIJA, POOJA PARSHOTAM (MD)
Entity Type:Individual
Prefix:MISS
First Name:POOJA
Middle Name:PARSHOTAM
Last Name:MAKHIJA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1111 MEDICAL CENTER CIRCLE
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD
Mailing Address - State:KY
Mailing Address - Zip Code:42066-1189
Mailing Address - Country:US
Mailing Address - Phone:270-251-4045
Mailing Address - Fax:270-251-4049
Practice Address - Street 1:1111 MEDICAL CENTER CIR
Practice Address - Street 2:
Practice Address - City:MAYFIELD
Practice Address - State:KY
Practice Address - Zip Code:42066-1194
Practice Address - Country:US
Practice Address - Phone:270-251-4045
Practice Address - Fax:270-251-4049
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-29
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LAMD.206779208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics