Individual
MUTHAMMA J MACHIMADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
28487
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284873
—
SC
01
—
P00402273
MEDICARE RAILROAD PTAN#
GA
Enumeration date
05/10/2006
Last updated
10/06/2020
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