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1720070527
RAVI PRAKASH MAKAM
ANAHEIM, CA
NPI
1720070527
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: CA A40900)
Enumeration Date
2005-08-17
Last Update Date
2007-07-08
Business Address
Mr. RAVI PRAKASH MAKAM M.D.
1120 W LA PALMA AVE
ANAHEIM, CA 92801-2805
Phone number: 714-774-9747
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Mailing Address
Mr. RAVI PRAKASH MAKAM M.D.
1120 W LA PALMA AVE
ANAHEIM, CA 92801-2805
Phone number: 714-774-9747
Copy
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