Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Premraj Makkuni, MD

Individual provider Cardiovascular Disease Physician · NPI 1730395740

Dr. Premraj Makkuni, MD is a Cardiovascular Disease (Cardiology) in Exton, Pennsylvania. Qualified in 2000, 26 years ago. Practices with Main Line Healthcare, a 1,153-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Pennsylvania and Wisconsin.

Years since qualifying
26
Licensed in
PA, WI
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

154 Exton Square Mall
Exton, PA 19341-2440
Phone: (484) 476-1000
Fax: (484) 876-2164
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3200 E Racine St, Janesville, WI 53546-2343 — (608) 371-8000
  • 3200 E Racine St, Janesville, WI 53546-2343 — (608) 371-8000

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence MD433572 (PA)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 57526-020 (WI)

Record details

NPI number1730395740
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 15, 2007
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Main Line Healthcare — 1153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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