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NPI Code Detail

MEDICARE: GURPREET MACHRA M.D.

MEDICARE: GURPREET MACHRA 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
1207P00000XEmergency Medicine Physician57479TN

General Provider Information

NPI Number : 1467406678
Entity Type Code : Individual
Provider Name (Legal Business Name) : GURPREET MACHRA M.D.
Provider Business Mailing Address
First Line : 2077 PINEHURST CV
Second Line :
City : DYERSBURG
State : TN
Zip : 38024-8882
Country : US
Telephone Number : 731-285-4203
Fax Number :
Provider Business Practice Location Address
First Line : 161 MOUNT PELIA RD
Second Line :
City : MARTIN
State : TN
Zip : 38237-3811
Country : US
Telephone Number : 731-587-4261
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2006
Last Update Date : 03/24/2021

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Directions to “ GURPREET MACHRA M.D.” Practice Location

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