Provider Demographics
NPI:1841338993
Name:MAKOVSKI, MIKHAIL VLADIMIR (MD)
Entity type:Individual
Prefix:
First Name:MIKHAIL
Middle Name:VLADIMIR
Last Name:MAKOVSKI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 749958
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90074-9958
Mailing Address - Country:US
Mailing Address - Phone:253-656-0223
Mailing Address - Fax:253-872-7900
Practice Address - Street 1:6719 S 211TH ST
Practice Address - Street 2:SUITE 102
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032
Practice Address - Country:US
Practice Address - Phone:253-656-0223
Practice Address - Fax:253-872-7900
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2011-08-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00039986207UN0903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207UN0903XAllopathic & Osteopathic PhysiciansNuclear MedicineIn Vivo & In Vitro Nuclear Medicine