Macha, Mahender

Macha, Mahender is an sole proprietor health care provider with primary practice located at 1100 E Michigan Ave Suite 301, Jackson MI 49201-1847. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Macha, Mahender can be contacted via phone (517) 817-7605.

Contact Information

Primary practice address
1100 E Michigan Ave Suite 301 Jackson MI 49201-1847
Phone: (517) 817-7605
Fax: (517) 817-7606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD050898L Pennsylvania
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 4301064881 Michigan

Profile Details

NPI number 1558359596
LBN Legal business name Macha, Mahender
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2005
Last updated Mar 1st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558359596 NPPES
Pennsylvania MEDICAID 0015061690004

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