Provider Demographics
NPI:1538117213
Name:MAKKER, RAM (MD)
Entity Type:Individual
Prefix:
First Name:RAM
Middle Name:
Last Name:MAKKER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:802 COLUMBIA ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:12534-2306
Mailing Address - Country:US
Mailing Address - Phone:518-751-1016
Mailing Address - Fax:518-751-1020
Practice Address - Street 1:52 SHOPRITE BLVD
Practice Address - Street 2:ROUTE 209
Practice Address - City:ELLENVILLE
Practice Address - State:NY
Practice Address - Zip Code:12428-5632
Practice Address - Country:US
Practice Address - Phone:845-647-6400
Practice Address - Fax:845-647-2076
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2008-04-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY193129207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDKS17P493Medicare PIN
MD161MP680Medicare PIN
MDF71066Medicare UPIN