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Contact Information

ADDISALEM TAYE MAKURIA, MD
3800 RESERVOIR RD NW
WASHINGTON, DC20007-2113
 Phone: 202-444-7599
 Fax: 202-444-3713
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
 

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Blood Banking & Transfusion Medicine

207ZB0001X 22 Physician/Pathology
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ADDISALEM TAYE MAKURIA · (Female)

NPI # 1093029886
Status Active
Credentials MD
Entity Individual
Enumeration date 08/04/2010
Last updated 11/24/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • DC License # MD039172
  • NC License # 2013-00065
  • NJ License # 25MA12924300
  • NC Medicaid 5922763
  • NC Other 1764M BCBS NC
Hospital affiliation(s)
  • VIDANT MEDICAL CENTER - (Acute Care)
    2100 STANTONSBURG RD
    GREENVILLE, NC 27834
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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