Individual
DR. CARLOS MACHICAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3130 N COUNTY ROAD 25A, TROY, OH 45373-1337
(937) 440-4000
Mailing address
PO BOX 20452, VPI/CYAD CREDENTIALING, COLUMBUS, OH 43220-0452
(614) 442-2406
(614) 442-2410
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35057964
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110678
—
OH
Enumeration date
03/17/2006
Last updated
01/29/2014
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