Individual
NIZAR R. MAKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4465 CORDATA PKWY, BELLINGHAM, WA 98226-8037
(360) 738-2200
(360) 752-5653
Mailing address
PO BOX 5096, BELLINGHAM, WA 98227-5096
(360) 738-2200
(360) 752-5653
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
G40174
CA
207N00000X
Dermatology Physician
Primary
MD00021424
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G401740
—
CA
01
—
0229998
L&I AND CRIME VICTIMS
WA
05
—
1497826424
—
WA
01
—
4466MA
REGENCE
WA
01
—
7017989
AETNA
WA
Enumeration date
11/13/2006
Last updated
10/04/2010
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