Provider Demographics
NPI:1265404396
Name:MAKIN, HARBIR SINGH (MD)
Entity type:Individual
Prefix:DR
First Name:HARBIR
Middle Name:SINGH
Last Name:MAKIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 PROVIDENCE DR
Mailing Address - Street 2:SUITE 114
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-4616
Mailing Address - Country:US
Mailing Address - Phone:907-212-3171
Mailing Address - Fax:907-212-4807
Practice Address - Street 1:3300 PROVIDENCE DR
Practice Address - Street 2:SUITE 114
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-4616
Practice Address - Country:US
Practice Address - Phone:907-212-3171
Practice Address - Fax:907-212-4807
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-02
Last Update Date:2010-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK2158207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK2158Medicaid
AK0000BKBGNMedicare ID - Type Unspecified
AK2158Medicaid