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Individual

AHAD MAKARACHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1300 MASSACHUSETTS AVE, TROY, NY 12180-1628
(518) 268-5890
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
128162
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00568089
NY
Enumeration date
10/25/2006
Last updated
05/15/2018
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