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General NPI Number Information
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NPI Number | 1821132655
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Entity Type | Organization
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Legal Business Name | MAKAM MEDICAL CORPORATION
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 1120 W LA PALMA AVE 14
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City | ANAHEIM
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State | CA
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Zip | 92801
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Country | US
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Telephone | 714-774-9747
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Fax | 714-774-0921
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Provider Business Mailing Address
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Address Line | 1120 W LA PALMA AVE 14
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City | ANAHEIM
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State | CA
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Zip | 92801
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Country | US
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Telephone | 714-774-9747
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Fax | 714-774-0921
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | RAVI P MAKAM
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Credential | MD FACC
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Telephone | 714-774-9747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A40900
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License Number State | CA
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