Individual
DR. MAKAYA ADISA MULATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
190 THOMAS JOHNSON DR STE 5, FREDERICK, MD 21702-4879
(012) 007-4444
(833) 907-0576
Mailing address
190 THOMAS JOHNSON DR STE 5, FREDERICK, MD 21702-4879
(301) 200-7444
(833) 907-0576
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0057961
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
412401400
—
MD
Enumeration date
12/28/2005
Last updated
10/06/2025
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