Matcha, Mrinalini Emma

Matcha, Mrinalini Emma is an individual health care provider with primary practice located at 1700 66Th Street North Suite 302, St. Petersburg FL 33701. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Matcha, Mrinalini Emma can be contacted via phone (727) 290-9899.

Contact Information

Primary practice address
1700 66Th Street North Suite 302 St. Petersburg FL 33701
Phone: (727) 290-9899
Fax: (727) 290-9898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME102947 Florida

Profile Details

NPI number 1114952058
LBN Legal business name Matcha, Mrinalini Emma
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Dec 12th, 2011 - about 13 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 1114952058 NPPES
Florida MEDICAID 000644800

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