Individual provider · Type 1 NPI

Ajay Makkena, MD

Student in an Organized Health Care Education/Training Program · Newark, NJ

NPI number 1265286520 Active

Practice location

185 S Orange Ave
Newark, NJ 07103-2757

Mailing address

180 Harvester Dr Ste 110
Burr Ridge, IL 60527-6686

Other practice locations

  • 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 · (846) 570-2509

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1265286520

Ajay Makkena, MD's National Provider Identifier is 1265286520, issued on Apr 15, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Newark, NJ. The record was last updated on Jun 15, 2025.