Mohan Dass Macha MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

4301032660 Issued in MI

Legal business name

MOHAN DASS MACHA MD PC

Practice address

6417 Marlette St
Marlette, MI 48453-1305

Phone

(989) 635-7131

Fax

(989) 635-6303

NPI assigned

May 30, 2008

Organization subpart

No

Name

Mohan Dass Macha, MD

Title

President

Phone

(989) 635-7131

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 30, 2008.

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1972761583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6417 MARLETTE ST",
            "city": "MARLETTE",
            "state": "MI",
            "postal_code": "484531305",
            "telephone_number": "989-635-7131",
            "fax_number": "989-635-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6417 MARLETTE ST",
            "city": "MARLETTE",
            "state": "MI",
            "postal_code": "484531305",
            "telephone_number": "989-635-7131",
            "fax_number": "989-635-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAN DASS MACHA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "MACHA",
        "authorized_official_first_name": "MOHAN",
        "authorized_official_middle_name": "DASS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-635-7131",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MI",
            "license": "4301071001",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301032660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracee Marsa
• Izabella McCanham
• Michael R McClelland, D.O.
• Joyce McNabb
• Makayla Rose McNary, FNP-C
• Janet A. Mutch, DO
• Allison Nichol, D.O., ATC
• Nitin K.G.Golechha MD,PC.
• Brad Reck, D.D.S
• Reliant Renal Care-Marlette LLC

• All providers in Marlette, MI
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.