Individual
GEORGE MAKDISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2404 E RIVER RD STE 100, TUCSON, AZ 85718-6521
(520) 838-3540
(520) 325-3526
Mailing address
555 E RIVER RD STE 101, TUCSON, AZ 85704-5843
(520) 838-3540
(520) 325-3526
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
50938
KY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
66589
AZ
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
ME125990
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020425000
—
FL
05
—
158869
—
AZ
01
—
50938
KENTUCKY LICENSE
KY
05
—
ENROLLED
—
MN
01
—
Q50BT
BLUE CROSS AND BLUE SHIELD
FL
Enumeration date
05/15/2009
Last updated
09/12/2022
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