Individual
AKRAM AL-MAKKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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