Individual
DR. ALEXANDRE MAKARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 E BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-8000
(573) 815-8556
Mailing address
1600 E BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-8000
(573) 815-8556
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2012008178
MO
208M00000X
Hospitalist Physician
Primary
2012008178
MO
390200000X
Student in an Organized Health Care Education/Training Program
62624
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639321045
—
MO
05
—
209759406
—
MO
01
—
991084053
MEDICARE PTAN
MO
Enumeration date
10/16/2008
Last updated
03/26/2024
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