Provider Demographics
NPI:1790833572
Name:MAKANI, SAMINA SAMIR (MD)
Entity Type:Individual
Prefix:
First Name:SAMINA
Middle Name:SAMIR
Last Name:MAKANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:477 N EL CAMINO REAL
Mailing Address - Street 2:SUITE C304
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-1328
Mailing Address - Country:US
Mailing Address - Phone:760-635-3777
Mailing Address - Fax:760-942-7163
Practice Address - Street 1:477 N EL CAMINO REAL
Practice Address - Street 2:SUITE C304
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-1328
Practice Address - Country:US
Practice Address - Phone:760-635-3777
Practice Address - Fax:760-942-7163
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA90868207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology