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Individual

KASAIAH MAKAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 KENYON RD, FORT DODGE, IA 50501-5776
(515) 574-6840
(515) 576-7726
Mailing address
PO BOX 9170, DES MOINES, IA 50306-9170
(515) 633-3600
(515) 633-3838

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
14864
NV
207R00000X
Internal Medicine Physician
MD472108
PA
207RC0000X
Cardiovascular Disease Physician
MD472108
PA
207RI0011X
Interventional Cardiology Physician
Primary
MD-50934
IA
207RI0011X
Interventional Cardiology Physician
MD472108
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100500484
NV
Enumeration date
07/09/2010
Last updated
07/26/2023
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