Individual
AKRAM AL-MAKKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
915 MEZZANINE DR, SUITE A, LAFAYETTE, IN 47905-8637
(765) 448-8000
(765) 838-6350
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
01046256A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000343489
ANTHEM PROVIDER NUMBER
IN
01
—
10779875
CAQH NUMBER
IN
05
—
200196010
—
IN
01
—
9396794
PHCS PID NUMBER
IN
Enumeration date
03/09/2006
Last updated
11/18/2020
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