Individual
DR. BONITA J MAKDAD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
412 LIBBIE AVE, SUITE 4, RICHMOND, VA 23226-2659
(804) 282-8082
(804) 282-9082
Mailing address
412 LIBBIE AVE, SUITE 4, RICHMOND, VA 23226-2659
(804) 282-8082
(804) 282-9082
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
0101042245
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06707432
—
VA
Enumeration date
03/27/2006
Last updated
07/08/2007
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