Mak, Michael

Mak, Michael is an individual health care provider with primary practice located at 2400 17Th St , Columbus IN 47201-5351. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Mak, Michael can be contacted via phone (812) 378-2980.

Contact Information

Primary practice address
2400 17Th St Columbus IN 47201-5351
Fax: (812) 378-2982
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 01068313A Indiana
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 211790 New York

Profile Details

NPI number 1811085129
LBN Legal business name Mak, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Oct 6th, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811085129 NPPES
New York Other 05679M MEDICARE (NY)
New York MEDICAID 200991920 MEDICARE (NY)

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