Provider Demographics
NPI:1013912211
Name:MAKADIA, ASHOK P (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHOK
Middle Name:P
Last Name:MAKADIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3600 KOLBE RD STE 227
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44053-1601
Mailing Address - Country:US
Mailing Address - Phone:440-960-6431
Mailing Address - Fax:440-960-6435
Practice Address - Street 1:3600 KOLBE RD STE 227
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44053-1601
Practice Address - Country:US
Practice Address - Phone:440-960-6431
Practice Address - Fax:440-960-6435
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35078447207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2204484Medicaid
OH3025372Medicaid
OH2204484Medicaid