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1457383077

NPI Code Detail

MEDICARE: EUGENIO MACHADO M.D.

MEDICARE: EUGENIO MACHADO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	D0024035	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	340040-20	OTHER	MD	BCBS OF MD
3	0039	OTHER	DC	BCBS OF DC
4	04-05771	OTHER	MD	EVERCARE
5	0943ER-340040-02	OTHER		CAREFIRST BCBS OF MD
6	34004002	OTHER		BCBS
7	0943SE-340040-02	OTHER		CAREFIRST BCBS OF MD
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	9680-0025	OTHER		CAREFIRST BCBS OF DC

General Provider Information

NPI Number	:	1457383077
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EUGENIO MACHADO M.D.

Provider Business Mailing Address
First Line	:	5525 RESEARCH PARK DR FL 4
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21228-4873
Country	:	US
Telephone Number	:	301-572-8340
Fax Number	:	301-572-8403

Provider Business Practice Location Address
First Line	:	3110 GRACEFIELD RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-1820
Country	:	US
Telephone Number	:	301-572-8340
Fax Number	:	301-572-8403

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	12/09/2014

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Directions to “ EUGENIO MACHADO M.D.” Practice Location

Language	Start Address	Practice Location

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