DR. MICHAEL MAK M.D. NPI 1811085129

NPI Information

NPI: 1811085129
Provider Name: DR. MICHAEL MAK, M.D.
Classification: Internal Medicine - 207RH0003X
Entity Type: Individual

Specialization: Hematology & Oncology

Address:
2400 17TH ST
COLUMBUS, IN
ZIP 47201
Phone: (812) 378-2980
Get Directions

DR. Michael Mak, M.D. is a hematology and oncology internal medicine in Columbus, IN. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. DR. Michael Mak, M.D. NPI is 1811085129. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2400 17TH ST
COLUMBUS, IN
ZIP 47201-351
Phone: (812) 378-2980
Fax: (812) 378-2982

The enumeration date for this NPI number is 10/11/2006 and was last updated on 10/6/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RH0003X	Internal Medicine	Hematology & Oncology	211790	NEW YORK	No
2	207RH0003X	Internal Medicine	Hematology & Oncology	01068313A	INDIANA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	05679M	OTHER	NEW YORK	MEDICARE (NY)
2	200991920	MEDICAID	INDIANA
3	P00182147	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	RAILROAD MEDICARE
4	H92471	MEDICARE UPIN
5	M400023427	MEDICARE PIN	INDIANA

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: 5/5/2024

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