Individual
SUHASINI MACHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CHILDRENS HOSPITAL MI GASTROENTEROLOGY, 3901 BEAUBIEN 4TH FLOOR - CARL'S BUILDING, DETROIT, MI 48201
(313) 745-5585
Mailing address
4201 ST. ANTOINE - UHC 5D MAILBOX 226, UNIVERSITY PEDIATRICIANS, DETROIT, MI 48201-2153
(313) 745-4405
(313) 966-0665
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301072593
MI
2080P0206X
Pediatric Gastroenterology Physician
Primary
4301072593
MI
Other
Enumeration date
06/02/2006
Last updated
01/13/2017
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