Provider Demographics
NPI:1245214196
Name:MAKWANA, HEMRAJ R (MD)
Entity Type:Individual
Prefix:DR
First Name:HEMRAJ
Middle Name:R
Last Name:MAKWANA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 5TH ST N
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:MS
Mailing Address - Zip Code:39705-2248
Mailing Address - Country:US
Mailing Address - Phone:419-231-5091
Mailing Address - Fax:614-386-8006
Practice Address - Street 1:1003 BELLEFONTAINE AVE STE 200
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45804-1803
Practice Address - Country:US
Practice Address - Phone:419-224-5915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01084129A207RI0011X
MS25736207RI0011X, 207RI0011X
OH35.095847207RI0011X
FLME119695207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS08558360Medicaid
NY02439476Medicaid
OHP00864682OtherMEDICARE RR
NY02439476Medicaid
OH3082658Medicaid
OH4303941Medicare PIN
NYI05919Medicare UPIN