Individual
MR. RAJENDRAPRASAD V MAKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 SE CARY PKWY, STE 204, CARY, NC 27511
(919) 854-0041
(919) 854-0049
Mailing address
1850 W ARLINGTON BLVD, GREENVILLE, NC 27834-5704
(252) 413-6641
(252) 752-6600
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
200300064
NC
207ZP0101X
Anatomic Pathology Physician
200300064
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8913455
—
NC
Enumeration date
08/02/2005
Last updated
10/13/2022
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