Provider Demographics
NPI:1033092515
Name:MAK ABULHOSN PODIATRY SERVICES PLLC
Entity type:Organization
Organization Name:MAK ABULHOSN PODIATRY SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAK
Authorized Official - Middle Name:
Authorized Official - Last Name:ABULHOSN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:206-609-0669
Mailing Address - Street 1:3040 78TH AVE SE UNIT 959
Mailing Address - Street 2:
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-3685
Mailing Address - Country:US
Mailing Address - Phone:206-609-0669
Mailing Address - Fax:
Practice Address - Street 1:3040 78TH AVE SE UNIT 959
Practice Address - Street 2:
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-3685
Practice Address - Country:US
Practice Address - Phone:206-609-0669
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty