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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ABIMBOLU S. MAKINDE, M.D.

Active Sole Proprietor

DR. ABIMBOLU S. MAKINDE, M.D. is a Sports Medicine healthcare provider located in BOTHELL, Washington. NPI 1669769337 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine · BOTHELL, WA

Registration Details

NPI Number
1669769337
Provider Type
Individual
Gender
Male
NPI Issued
Jul 1, 2011 (15.123822549795 yrs)
Last Updated
Mar 17, 2018
Licenses
MD60465979 (WA)
47434 (AZ)
MD60465979 (WA)
Sole Proprietor
Yes

Practice Information

Address
19110 BOTHELL WAY NE STE 102
BOTHELL, WA, 980112970
Browse WA providers · Browse ZIP 98011
Phone
4252868271
Fax
4252868271
Primary Specialty
Sports Medicine
207QS0010X
Additional Specialty
Sports Medicine
Additional Specialty
Sports Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.