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MAKAM MEDICAL CORPORATION NPI 1821132655


NPI Information

NPI: 1821132655
Provider Name: MAKAM MEDICAL CORPORATION

Doing Business As: ANAHEIM NUCLEAR CT/ PET IMAGING CENTER

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1120 W LA PALMA AVE
14
ANAHEIM, CA
ZIP 92801
Phone: (714) 774-9747
Get Directions

MAKAM MEDICAL CORPORATION is a cardiovascular disease internal medicine in Anaheim, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. MAKAM MEDICAL CORPORATION NPI is 1821132655. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Anaheim Nuclear Ct/ Pet Imaging Center.

The provider's business location address is:

1120 W LA PALMA AVE
14
ANAHEIM, CA
ZIP 92801
Phone: (714) 774-9747
Fax: (714) 774-0921

The provider's authorized official is Ravi P Makam .
The authorized official title is Medical Doctor and has the following contact phone number (714) 774-9747.

The enumeration date for this NPI number is 2/16/2007 and was last updated on 2/20/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseA40900CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A85528MEDICARE UPINCALIFORNIA
200A409000MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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