Provider Demographics
NPI:1144265216
Name:MAKKAWI, HODA K (MD)
Entity type:Individual
Prefix:MS
First Name:HODA
Middle Name:K
Last Name:MAKKAWI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8301 ARLINGTON BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-2902
Mailing Address - Country:US
Mailing Address - Phone:703-849-0900
Mailing Address - Fax:703-208-7444
Practice Address - Street 1:8301 ARLINGTON BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-2902
Practice Address - Country:US
Practice Address - Phone:703-849-0900
Practice Address - Fax:703-208-7444
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101057780208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
G91337Medicare UPIN
DCP00628279Medicare PIN
DCG02804F01Medicare PIN