Individual
DR. MANTHAN DIPAK MAKADIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1721 EBENEZER RD STE 175, ROCK HILL, SC 29732-1188
(804) 324-5256
Mailing address
PO BOX 604350, CHARLOTTE, NC 28260-4350
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2021-01921
NC
208600000X
Surgery Physician
Primary
86393
SC
208600000X
Surgery Physician
MT201295
PA
Other
Enumeration date
05/21/2012
Last updated
03/02/2026
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