Ambalal D Makwana, L.S.A.

Primary specialty

ContractorTaxonomy code 171W00000X

License

SA0181 Issued in TX

Practice address

13010 Ryaneagles Dr
Houston, TX 77044-5077

Phone

(281) 225-4013

NPI assigned

Apr 17, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lone Star Surgicare

  • Contractor
  • Houston, TX
  • NPI 1851522114
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275759383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13010 RYANEAGLES DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770445077",
            "telephone_number": "281-225-4013",
            "fax_number": "281-225-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13010 RYANEAGLES DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770445077",
            "telephone_number": "281-225-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKWANA",
        "first_name": "AMBALAL",
        "middle_name": "D",
        "credential": "L.S.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "TX",
            "license": "SA0181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISCENCED SURGICAL ASSIST",
            "identifier": "LSA0181",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lara Maksymonko, MA, CCC-SLP
• Mohamad Ali Maktabi, MD
• Henrietta Oyeyemi Maku, MD, PHD
• Darlene Debra Makulski, MD
• Mkunde Simon Makundi
• Emmanuel Malabanan, P.T.
• Ning Malabanan, P.T
• Malachi Solutions LLC
• Marco Moises Malaga Julca, MD
• Maan Malahfji, M.D

• Contractor in Houston, TX
• Providers in Houston, TX by specialty
• Contractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.