Provider Demographics
NPI:1437337623
Name:MAKHNI CARDIOLOGY AND MEDICAL ASSOCIATES
Entity Type:Organization
Organization Name:MAKHNI CARDIOLOGY AND MEDICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MALVINDER
Authorized Official - Middle Name:S
Authorized Official - Last Name:MAKHNI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:772-335-3700
Mailing Address - Street 1:1700 SE HILLMOOR DR
Mailing Address - Street 2:SUITE 307
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34952-7539
Mailing Address - Country:US
Mailing Address - Phone:772-335-3700
Mailing Address - Fax:772-335-4006
Practice Address - Street 1:1700 SE HILLMOOR DR
Practice Address - Street 2:SUITE 307
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952-7539
Practice Address - Country:US
Practice Address - Phone:772-335-3700
Practice Address - Fax:772-335-4006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-10
Last Update Date:2008-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME49671207R00000X
FLME49678207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty