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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720070527 NPPES
California MEDICAID 00A409000

Popular Providers