Machra, Ravinder K

Machra, Ravinder K is an individual health care provider with primary practice located at 1067 Vendall Rd Ste A , Dyersburg TN 38024. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Machra, Ravinder K can be contacted via phone (731) 288-3368.

Contact Information

Primary practice address
1067 Vendall Rd Ste A Dyersburg TN 38024
Phone: (731) 288-3368
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD38904 Tennessee

Profile Details

NPI number 1457352577
LBN Legal business name Machra, Ravinder K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Jul 23rd, 2018 - about 6 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 1457352577 NPPES
Other 62-1815075 OMNI
Other 4115392 OMNI
Other 000000160231 OMNI
MEDICAID 3339815 OMNI
MEDICAID 3725948 OMNI
Other 4093047 OMNI

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