Individual
KATIE E MACHANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7140 PORT SYLVANIA DR, SUITE 420, TOLEDO, OH 43617-1176
(419) 843-8145
(419) 841-7735
Mailing address
7140 PORT SYLVANIA DR, SUITE 420, TOLEDO, OH 43617-1176
(419) 843-8145
(419) 841-7735
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35085743
OH
208000000X
Pediatrics Physician
Primary
35-085743
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221389
UNISON
OH
01
—
000000391796
ANTHEM
OH
05
—
1018297610001
—
PA
05
—
1018945270001
—
PA
01
—
2638917
BCMH
OH
05
—
2638917
—
OH
01
—
363791
WELLCARE
OH
01
—
7410792
AETNA
OH
01
—
745938
BUCKEYE
OH
Enumeration date
03/07/2007
Last updated
11/03/2023
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