Individual
MAKRAM Y HAJJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11725 N ILLINOIS ST, STE 265, CARMEL, IN 46032-3015
(317) 688-5100
(317) 688-5111
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01048464A
IN
207UN0901X
Nuclear Cardiology Physician
01048464A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000630032
ANTHEM
IN
05
—
200191960
—
IN
01
—
P01002397
RAILROAD MEDICARE PTAN
IN
Enumeration date
04/27/2006
Last updated
05/20/2025
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