MEDICARE: SRIRAM MACHINENI MD

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	207RB0002X	Obesity Medicine (Internal Medicine) Physician	2017-00714	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00026422603	OTHER	NY	UNIVERA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	000527387003	OTHER	NY	BLUE CROSS WNY
4	0492995	OTHER	NY	IHA

General Provider Information

NPI Number	:	1750350666
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SRIRAM MACHINENI MD

Provider Business Mailing Address
First Line	:	8025 BURNETT WOMACK BUILDING CAMPUS BOX # 7172
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27599-7170
Country	:	US
Telephone Number	:	919-966-0134
Fax Number	:	919-966-6025

Provider Business Practice Location Address
First Line	:	300 MEADOWMONT VILLAGE CIR STE 202
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27517-7518
Country	:	US
Telephone Number	:	984-974-2950
Fax Number	:

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

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	01/21/2021

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