Organization
MAKAM MEDICAL CORPORATION
Active
Other names
Anaheim Nuclear CT/ PET Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
RAVI P MAKAM MD FACC (MEDICAL DOCTOR)
(714) 774-9747
Entity
Organization
Contact information
Practice address
1120 W LA PALMA AVE, 14, ANAHEIM, CA 92801
(714) 774-9747
(714) 774-0921
Mailing address
1120 W LA PALMA AVE, 14, ANAHEIM, CA 92801
(714) 774-9747
(714) 774-0921
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A40900
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A409000
—
CA
Enumeration date
02/16/2007
Last updated
08/25/2025
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