Ravi Prakash Makam in Anaheim - Specialist
Ravi Prakash Makam - NPI 1720070527
Ravi Prakash Makam is a Specialist in Anaheim, California. Ravi Prakash Makam practices all healthcare services and medical treatments related to Specialist. The NPI Number for Ravi Prakash Makam is 1720070527. The last update date is 2007-07-08.
Ravi Prakash Makam's current location address is 1120 W La Palma Ave, Anaheim, California. You can contact this provider via phone number 7147749747 and fax number 7147740921. The mailing address for Ravi Prakash Makam is 1120 W La Palma Ave, Anaheim, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ravi Prakash Makam |
|---|---|
| Address | 1120 W La Palma Ave, Anaheim, California |
| Phone Number | 7147749747 |
| Fax Number | 7147740921 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1720070527 |
|---|---|
| Provider Enumeration Date | 2005-08-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1120 W La Palma Ave |
|---|---|
| City | Anaheim |
| State | California (CA) |
| Post Code | 928012805 |
| Phone Number | 7147749747 |
| Fax Number | 7147740921 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | A40900 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A409000 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Ravi Prakash Makam by the Centers for Medicare & Medicaid Services?
The Ravi Prakash Makam has been issued the NPI (National Provider Identifier) 1720070527, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Ravi Prakash Makam located?
The Ravi Prakash Makam is located at 1120 W La Palma Ave, Anaheim, CA 928012805.
What is the Ravi Prakash Makam's specialty and taxonomy code?
The Ravi Prakash Makam's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
When was the Ravi Prakash Makam's 1720070527 issued?
The Ravi Prakash Makam's 1720070527 was issued on 2005-08-17.
As of what date were the details pertaining to Ravi Prakash Makam last refreshed?
The information related to the Ravi Prakash Makam, including its address, specialty, and other relevant details, was last updated on 2007-07-08.