Individual
DR. DAVID C MAKI
Active
Individual
DR. DAVID C MAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1286
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000683460
MTN STATE BCBS
WV
01
—
010089158
FEDERAL WKRS COMP/BL
WV
05
—
0118716000
—
WV
01
—
1058353
WV WORKERS' COMP
WV
01
—
288546
MAMSI
WV
01
—
300126636
RAILROAD MCARE
WV
01
—
462501
ANTHEM BCBS
—
01
—
55073865301
CHAMPUS
—
Enumeration date
10/26/2006
Last updated
10/03/2011
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