Provider Demographics
NPI:1790074276
Name:MAKADIA, SUNAL S (MD)
Entity Type:Individual
Prefix:
First Name:SUNAL
Middle Name:S
Last Name:MAKADIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2700 QUARRY LAKE DR STE 240
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-3769
Mailing Address - Country:US
Mailing Address - Phone:410-367-2590
Mailing Address - Fax:410-367-2596
Practice Address - Street 1:2700 QUARRY LAKE DR STE 240
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-3769
Practice Address - Country:US
Practice Address - Phone:410-367-2590
Practice Address - Fax:410-367-2596
Is Sole Proprietor?:No
Enumeration Date:2011-04-05
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD77496207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease