Individual
GHADEER A MAKOSHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.,F.A.A.O
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
Update your record
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