Machaiah M Madhrira
Internist Nephrologist
1001 Pennsylvania Ave
Fort Worth
, Texas 76104-2228
Machaiah M Madhrira
Internist Nephrologist
1001 Pennsylvania Ave
Fort Worth
, Texas 76104-2228
(817) 335-4418
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About
Features
Specialties
- Internist
- Nephrologist
Languages spoken
- English
Location
First Address
- Machaiah M Madhrira
- 1000 W Cannon St
- Fort Worth, TX
- Zip : 76104-3029
- Fax : (817) 335-4418
- Phone : (817) 877-5858
Second Address
- Machaiah M Madhrira
- 1001 Pennsylvania Ave
- Fort Worth, TX
- Zip : 76104-2228
- Fax : (817) 335-4418
- Phone : (817) 877-5858
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | Q5219 | TX |
| N | 111NI0900X | Internist | Q5219 | TX |
| N | 207RN0300X | Nephrologist | 41806 | AZ |
| Y | 207RN0300X | Nephrologist | Q5219 | TX |
National Provider Identifier
| NPI | 1043453293 |
|---|---|
| Provider Name | Machaiah M Madhrira |
| First Address | Fort Worth, TX 76104-3029 |
| Second Address | Fort Worth, TX 76104-2228 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/04/2009 |
| Last Update Date | 26/11/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 350469801 | (05) | TX |
| 421797 | (05) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.