Individual
ADDISALEM TAYE MAKURIA
Active
Individual
ADDISALEM TAYE MAKURIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
MD039172
DC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
25MA12924300
NJ
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
2013-00065
NC
208000000X
Pediatrics Physician
MD039172
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1764M
BCBS NC
NC
05
—
5922763
—
NC
Enumeration date
08/04/2010
Last updated
11/24/2025
Update your record
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