Provider Demographics
NPI:1467681239
Name:MAKADIYA, APURVA (MD,MBBS)
Entity Type:Individual
Prefix:DR
First Name:APURVA
Middle Name:
Last Name:MAKADIYA
Suffix:
Gender:M
Credentials:MD,MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7101 GUILFORD DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21704-5193
Mailing Address - Country:US
Mailing Address - Phone:240-464-8000
Mailing Address - Fax:240-383-3439
Practice Address - Street 1:7101 GUILFORD DR
Practice Address - Street 2:SUITE 100
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21704-5193
Practice Address - Country:US
Practice Address - Phone:240-464-8000
Practice Address - Fax:240-383-3439
Is Sole Proprietor?:No
Enumeration Date:2009-07-14
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD761722084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD76172OtherMARYLAND BOARD OF PHYSICIANS