Individual
DR. RAVINDER K MACHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1067 VENDALL RD STE A, DYERSBURG, TN 38024
(731) 288-3368
Mailing address
1067 VENDALL RD STE A, DYERSBURG, TN 38024-1622
(731) 285-9938
(731) 287-8809
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD38904
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000160231
BETTER HEALTH
—
05
—
3339815
—
TN
05
—
3725948
—
TN
01
—
4093047
BCBS
—
01
—
4115392
BCBS
TN
01
—
62-1815075
OMNI
—
Enumeration date
08/10/2005
Last updated
07/23/2018
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