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Individual

GHADEER A MAKOSHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.,F.A.A.O

Contact information

Practice address
220 N MCKEMY AVE, CHANDLER, AZ 85226-2654
(480) 961-1865
Mailing address
220 N MCKEMY AVE, CHANDLER, AZ 85226-2654
(480) 961-1865

Taxonomy

Speciality
Code
Description
License number
State
152WP0200X
Pediatric Optometrist
Primary
1681
AZ
152WP0200X
Pediatric Optometrist
2008023450
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Z144717
MEDICARE PTAN
AZ
Enumeration date
08/12/2008
Last updated
07/16/2014
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