MR. RAJENDRAPRASAD V MAKAM (NPI# 1154322089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154322089 |
| Entity Type | Individual |
| Full Name | MR. RAJENDRAPRASAD V MAKAM |
| Credential | MD |
| Practice Address |
1120 Se Cary Pkwy Ste 204 Cary NC 27511 |
| Practice Telephone | 9198540041 |
| Practice Fax Number | 9198540049 |
| Mailing Telephone | 9198540041 |
| Mailing Fax Number | 9198540049 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2018-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
200300064 | NC | Allopathic & Osteopathic Physicians |
| N | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
200300064 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8913455 | 05 |
| Street Address |
1120 SE CARY PKWY STE 204 |
| City | CARY |
| State | NC |
| Zip Code | 27511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184622052 | Raymond Mckay Carroll | Orthopaedic Surgery | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2005-07-13 |
| 1861926800 | Justin Akllen Meekins | Physical Therapist | 1120 Se Cary Pkwy, Suite 101, Cary, NC 27518-7413 | 2017-04-17 |
| 1275083974 | Kristen Michelle Mundy | Physician Assistant | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2016-10-06 |
| 1437603941 | Molly M Mazich | Physical Therapist | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2016-08-12 |
| 1326592833 | William Fogarty Iv | Physical Therapist | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2016-08-12 |
| 1114471307 | Melissa Capannola | Physical Therapist | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2016-08-05 |
| 1831581180 | Erin Clevenger | Psychologist | 1120 Se Cary Pkwy, Suite 201, Cary, NC 27518-7413 | 2015-02-24 |
| 1851781025 | Elise Caceres-mason | Physician Assistant | 1120 Se Cary Pkwy, #100, Cary, NC 27518-7413 | 2015-01-27 |
| 1518217199 | Christina K Buffington | Occupational Therapist | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2012-09-11 |
| 1235408634 | Kenneth Allen Lynnes | Physical Therapist | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2011-12-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730792615 | Jill Manning West | Pharmacy | 118 Mackenan Dr., Suite 200, Cary, NC 27511 | 2020-08-28 |
| 1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
| 1801429568 | Cheryl Perozek Reid | Physical Therapist | Brightstar Cary, 102 Commonwealth Court Unit K, Cary, NC 27511 | 2020-02-20 |
| 1912543075 | Courtney Hansen | Specialist/Technologist | 103 Fountain Brook Circle, D2, Cary, NC 27511 | 2019-11-25 |
| 1619438512 | Karlianna E.s Williams | Behavior Technician | 111 Mackenan, Cary, NC 27511 | 2019-03-25 |
| 1992272058 | Best Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 590 E Chatham Street, Ste 108, Cary, NC 27511 | 2018-10-26 |
| 1275015620 | Edward Michael Sleigh | Marriage & Family Therapist | 110 Iowa Ln, Ste 204, Cary, NC 27511 | 2018-09-02 |
| 1477044048 | Leonard Deleon | Pharmacist | 1230 Se Maynard Rd # 202, Cary, NC 27511 | 2018-05-19 |
| 1932699030 | Valerie Hunter Whidbee | Specialist | 139 E Chatham Street, Suite 105, Cary, NC 27511 | 2018-05-14 |
| 1588153878 | Ashley Horak Gyori | Speech-Language Pathologist | 905 Balmoral Dr, Cary, NC 27511 | 2018-05-02 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346889292 | Park Gastroenterology, Pllc | Internal Medicine | 7560 Carpenter Fire Station Rd Ste 303, Cary, NC 27519-9637 | 2019-12-24 |
| 1962620997 | Kurt G Vernon Md Pa | Internal Medicine | 3412 Birk Bluff Ct, Cary, NC 27518 | 2007-04-23 |
| 1336177294 | Douglas Brian Pritchett | Internal Medicine | 1120 Se Cary Pkwy Ste 204, Cary, NC 27518 | 2006-06-29 |
| 1245204700 | North Raleigh Gastroenterology, P.a. | Internal Medicine | 1505 Sw Cary Pkwy Ste 309, Cary, NC 27511 | 2006-02-13 |
| 1548689771 | Jinyu Zhang | Internal Medicine | 115 Kildaire Park Dr Ste 201, Cary, NC 27518-8144 | 2014-04-15 |
| 1871715813 | Shannon Scholl | Internal Medicine | 115 Kildaire Park Dr Ste 201, Cary, NC 27518-8144 | 2007-05-02 |
| 1396886909 | Carolina Gastroenterology Pa | Internal Medicine | 570 New Waverly Pl, Suite 140, Cary, NC 27518 | 2007-02-08 |
| 1205975398 | Subhash Gumber | Internal Medicine | 530 New Waverly Pl, Suite 200, Cary, NC 27511-7414 | 2007-02-05 |
| 1922165018 | Cary Gastroenterology Associates Pa | Internal Medicine | 115 Kildaire Park Dr Ste 201, Cary, NC 27518-8144 | 2007-01-02 |
| 1982690996 | Indira M. Reddy | Internal Medicine | 530 New Waverly Pl, Suite 314, Cary, NC 27518-7414 | 2005-09-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.