Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 012088 | OH |
N | 111NI0900X | Internist | 012088 | OH |
Y | 207RN0300X | Nephrologist | DO.1964 | AL |
NPI | 1003158189 |
---|---|
Provider Name | Shana Monika Machado |
First Address | Houston, TX 77030-1501 |
Second Address | Birmingham, AL 35249-1501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2013 |
Last Update Date | 14/07/2019 |