Provider Demographics
NPI:1427233675
Name:MAKIN, VINNI (MBBS , MD)
Entity type:Individual
Prefix:DR
First Name:VINNI
Middle Name:
Last Name:MAKIN
Suffix:
Gender:F
Credentials:MBBS , MD
Other - Prefix:DR
Other - First Name:VINNI
Other - Middle Name:
Other - Last Name:GROVER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MBBS , MD
Mailing Address - Street 1:9500 EUCLID AVE
Mailing Address - Street 2:F 20
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-444-0539
Mailing Address - Fax:216-445-1656
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:F 20
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-444-0539
Practice Address - Fax:216-445-1656
Is Sole Proprietor?:No
Enumeration Date:2008-01-07
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35 . 095480207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism