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Individual

RAMARAO MAKKENA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3389 W VINE ST, SUITE 304, KISSIMMEE, FL 34741-4665
(407) 932-2799
(407) 932-0303
Mailing address
3389 W VINE ST, SUITE 304, KISSIMMEE, FL 34741-4665
(407) 932-2799
(407) 932-0303

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME93520
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
38008
BCBS
FL
Enumeration date
03/07/2006
Last updated
11/15/2011
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