Provider Demographics
NPI:1306551510
Name:MAKAL, JAMES ROLAND
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:ROLAND
Last Name:MAKAL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 COLLEGE STATION DR
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-1234
Mailing Address - Country:US
Mailing Address - Phone:240-602-4012
Mailing Address - Fax:
Practice Address - Street 1:3600 B ST SE APT 120
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-7317
Practice Address - Country:US
Practice Address - Phone:202-889-5490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant