Individual
DR. JAYESH MAKIM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3650 LAKE OTIS PKWY, SUITE 205, ANCHORAGE, AK 99508-5207
(907) 561-1565
(907) 561-1541
Mailing address
PO BOX 241889, ANCHORAGE, AK 99524-1889
(907) 563-1777
(907) 561-7464
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3215
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0185721
WA DEPT L&I
AK
05
—
MD00643
—
AK
Enumeration date
08/12/2005
Last updated
07/09/2007
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