Provider Demographics
NPI:1316939432
Name:MAKAS, DANIEL E (DO)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:E
Last Name:MAKAS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:201 DEFENSE HWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-8943
Mailing Address - Country:US
Mailing Address - Phone:443-481-3354
Mailing Address - Fax:443-481-6515
Practice Address - Street 1:555 CYNWOOD DR
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-4092
Practice Address - Country:US
Practice Address - Phone:410-820-7270
Practice Address - Fax:410-820-4589
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH0048241207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDAV250007OtherBCBS
MD828500400Medicaid
MD190989ZDWSMedicare PIN