Makam, Ravi Prakash
Makam, Ravi Prakash is an individual health care provider with primary practice located at 1120 W La Palma Ave , Anaheim CA 92801-2805. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Makam, Ravi Prakash can be contacted via phone (714) 774-9747.Contact Information
Primary practice address
1120 W La Palma Ave
Anaheim CA 92801-2805
Phone: (714) 774-9747
Fax: (714) 774-0921
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A40900 | California |
Profile Details
| NPI number | 1720070527 |
|---|---|
| LBN Legal business name | Makam, Ravi Prakash |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720070527 | NPPES |
| California | MEDICAID | 00A409000 |
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