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Individual

DR. ANIL K MAKANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
65 HOSPITAL DR STE 103, PETERSBURG, WV 26847-9549
(304) 257-4331
(304) 257-1115
Mailing address
PO BOX 788, PETERSBURG, WV 26847-0788
(304) 257-4331
(304) 257-2891

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
15545
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0009932000
WV
05
0124462000
WV
01
020029777
MEDICARE RAILROAD
Enumeration date
10/13/2006
Last updated
03/04/2020
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