Provider Demographics
NPI:1861620353
Name:MAKORI, YELENA RANIKA (MD)
Entity type:Individual
Prefix:DR
First Name:YELENA
Middle Name:RANIKA
Last Name:MAKORI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:YELENA
Other - Middle Name:RANIKA
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:905 DIXIE ST
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:GA
Mailing Address - Zip Code:30117-4417
Mailing Address - Country:US
Mailing Address - Phone:770-812-5831
Mailing Address - Fax:
Practice Address - Street 1:6025 PROFESSIONAL PKWY STE 200
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30134-5610
Practice Address - Country:US
Practice Address - Phone:770-949-0555
Practice Address - Fax:770-949-4424
Is Sole Proprietor?:No
Enumeration Date:2009-06-23
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116023998207R00000X, 390200000X
GA068637207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program