Doctor Name: | NIDAL MAKHOUL |
NPI Number: | 1063409282 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD FACC FACP |
License Number: | E0021551 |
Business Practice Address: | 52 Tom Miller Road Plattsburgh, NY - 129011252 |
Business Phone Number: | 5185632404 |
Business Fax Number: | 5185634033 |
Mailing Address: | 52 Tom Miller Road, PLATTSBURGH |
State: | NY |
Postal Code: | 129011252 |
Phone Number: | 5185632404 |
Fax Number: | 5185634033 |
NPI Enumeration Date: | 10/03/2005 |
NPI Last Update Date: | 11/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | E0021551 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |