Provider Demographics
NPI:1083772461
Name:MAKAI, GRETCHEN EH (MD)
Entity type:Individual
Prefix:DR
First Name:GRETCHEN
Middle Name:EH
Last Name:MAKAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2860 WHITEFORD RD UNIT 1
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-8992
Mailing Address - Country:US
Mailing Address - Phone:717-988-8170
Mailing Address - Fax:717-221-5398
Practice Address - Street 1:2860 WHITEFORD RD UNIT 1
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-8992
Practice Address - Country:US
Practice Address - Phone:717-988-8170
Practice Address - Fax:717-221-5398
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA232421207V00000X
RIMD12453207V00000X
DEC1-0009138207VG0400X, 207VX0000X
PAMD465638207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE161681YOYMedicare PIN