Dr. Abimbolu S. Makinde, M.D.
Family Medicine, Sports Medicine in Bothell, WA. Individual provider (NPI-1).
NPI number1669769337
StatusActive
Last updated in NPPESMar 17, 2018
Details
- NPI
- 1669769337
- Entity type
- Individual (NPI-1)
- Name
- Dr. Abimbolu S. Makinde
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 1, 2011
- Last updated
- Mar 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QS0010X | Family Medicine, Sports Medicine | MD60465979 | WA | Yes |
| 207Q00000X | Family Medicine | MD60465979 | WA | |
| 207QS0010X | Family Medicine, Sports Medicine | 47434 | AZ |
Practice location
19110 Bothell Way Ne Ste 102Bothell, WA 98011-2970
Phone 425-286-8271 · Fax 425-286-8271
Mailing address
19110 Bothell Way Ne Ste 102Bothell, WA 98011-2970
Phone 425-286-8271 · Fax 425-491-7271
Other practice locations
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