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Mr. Ravi Prakash Makam, MD
Specialist in Anaheim, California
NPI 1720070527

Ravi Prakash Makam is a Specialist based in Anaheim, CA. Ravi Prakash Makam practices in Anaheim, CA and has the professional credentials of MD. The NPI Number for Ravi Prakash Makam is 1720070527 and holds a License No. A40900 (California).

The current practice location address for Ravi Prakash Makam is 1120 W La Palma Ave, Anaheim, CA and can be reached out via phone at 714-774-9747 and via fax at 714-774-0921.

Location: 1120 W La Palma Ave, Anaheim, CA, 92801-2805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720070527
Provider Name
Ravi Prakash Makam
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1120 W La Palma Ave, Anaheim, CA, 92801-2805
Phone Number
714-774-9747
Fax Number
714-774-0921
Provider Enumeration Date
08/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A409000 05 CA
institution
Provider Business Practice Location Address Details
Address
1120 W La Palma Ave
City
Anaheim
State
California
Zip
92801-2805
Phone Number
714-774-9747
Fax Number
714-774-0921
person
Provider Business Mailing Address Details
Address
1120 W La Palma Ave
City
Anaheim
State
California
Zip
92801-2805
Phone Number
714-774-9747
Fax Number
714-774-0921
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A40900 (California)
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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