Provider Demographics
NPI:1518198407
Name:MAKIA, AYUK (MD)
Entity Type:Individual
Prefix:MR
First Name:AYUK
Middle Name:
Last Name:MAKIA
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 1:26791 US HIGHWAY 380 E
Mailing Address - Street 2:
Mailing Address - City:AUBREY
Mailing Address - State:TX
Mailing Address - Zip Code:76227-7654
Mailing Address - Country:US
Mailing Address - Phone:972-347-2525
Mailing Address - Fax:972-347-6725
Practice Address - Street 1:26791 US HIGHWAY 380 E
Practice Address - Street 2:
Practice Address - City:AUBREY
Practice Address - State:TX
Practice Address - Zip Code:76227-7654
Practice Address - Country:US
Practice Address - Phone:972-347-2525
Practice Address - Fax:972-347-6725
Is Sole Proprietor?:No
Enumeration Date:2009-07-27
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN9899207P00000X, 207Q00000X, 208M00000X
IL036122760207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist