Provider Demographics
NPI:1336405943
Name:SEMMA, MAKEDA (MD)
Entity Type:Individual
Prefix:DR
First Name:MAKEDA
Middle Name:
Last Name:SEMMA
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 1:20907 113TH AVE E
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98338-6474
Mailing Address - Country:US
Mailing Address - Phone:253-230-3756
Mailing Address - Fax:
Practice Address - Street 1:111 COLCHESTER AVENUE
Practice Address - Street 2:MAILSTOP 156SM2 FLETCHER ALLEN HEALTH CARE
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401
Practice Address - Country:US
Practice Address - Phone:802-847-2700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-09
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program