Provider Demographics
NPI:1548558117
Name:MAKADIA, JINA TUSHAR (MD)
Entity Type:Individual
Prefix:DR
First Name:JINA
Middle Name:TUSHAR
Last Name:MAKADIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JINA
Other - Middle Name:YOGESH
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8828 SW ASH MEADOWS CIR
Mailing Address - Street 2:APT # 1036
Mailing Address - City:WILSONVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97070-6224
Mailing Address - Country:US
Mailing Address - Phone:201-889-7886
Mailing Address - Fax:
Practice Address - Street 1:3181 SAM JACKSON PARK ROAD, MAIL CODE L457
Practice Address - Street 2:OREGON HEALTH & SCIENCE UNIVERSITY, DIV OF ID
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-3098
Practice Address - Country:US
Practice Address - Phone:503-494-0591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-18
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD180222207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease