Machogu, Evans Miruka

Machogu, Evans Miruka is an individual health care provider with primary practice located at 705 Riley Hospital Dr Roc 4270, Indianapolis IN 46202-5109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as his primary health care specialty. Machogu, Evans Miruka can be contacted via phone (317) 948-7208.

Contact Information

Primary practice address
705 Riley Hospital Dr Roc 4270 Indianapolis IN 46202-5109
Phone: (317) 948-7208
Fax: (317) 944-5791
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 01073190 Indiana

Profile Details

NPI number 1871755884
LBN Legal business name Machogu, Evans Miruka
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2008
Last updated Dec 4th, 2020 - 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 1871755884 NPPES
Indiana MEDICAID 201225810
Indiana MEDICAID 0143155

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