Provider Demographics
NPI:1992985626
Name:SAMINA MAKANI, M.D.
Entity type:Organization
Organization Name:SAMINA MAKANI, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SAMINA
Authorized Official - Middle Name:SAMIR
Authorized Official - Last Name:MAKANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-635-3777
Mailing Address - Street 1:477 N EL CAMINO REAL STE C304
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-1354
Mailing Address - Country:US
Mailing Address - Phone:760-635-3777
Mailing Address - Fax:760-942-7163
Practice Address - Street 1:477 N EL CAMINO REAL STE C304
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-1354
Practice Address - Country:US
Practice Address - Phone:760-635-3777
Practice Address - Fax:760-942-7163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-09
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA90868207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty