RAVI PRAKASH MAKAM

ANAHEIM, CA
NPI1720070527
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy174400000X Specialist
(Licence: CA  A40900)
Enumeration Date2005-08-17
Last Update Date2007-07-08
Business Address
MR. RAVI PRAKASH MAKAM M.D.
1120 W LA PALMA AVE
ANAHEIM, CA 92801-2805
Phone number: 714-774-9747
Mailing 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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