# MAKUNDA ABDUL-MBACKE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1013995851
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 0101241089 | VA | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | 2010-02034 | NC | — |
| 207VX0000X | Obstetrics Physician | 0101241089 | VA | — |

## Other

- **Enumeration date:** 01/03/2006
- **Last updated:** 02/20/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8898405 | — | NJ |