| Doctor Name: | ADDISALEM TAYE MAKURIA |
| NPI Number: | 1093029886 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 0101246702 |
| Business Practice Address: | 600 Moye Blvd Ecu Physicians Greenville, NC - 278344300 |
| Business Phone Number: | 2527444655 |
| Business Fax Number: | 2527443650 |
| Mailing Address: | Po Box 751069, Ecu Physicians CHARLOTTE |
| State: | NC |
| Postal Code: | 282751069 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/04/2010 |
| NPI Last Update Date: | 02/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0101246702 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |