Provider Demographics
NPI:1629127162
Name:MACHHAR, PRAKASH
Entity Type:Individual
Prefix:MR
First Name:PRAKASH
Middle Name:
Last Name:MACHHAR
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:PRAKASH
Other - Middle Name:
Other - Last Name:MACHHAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:6811 STATE ROAD 54
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34653-6018
Mailing Address - Country:US
Mailing Address - Phone:727-815-1550
Mailing Address - Fax:727-815-0667
Practice Address - Street 1:6811 STATE ROAD 54
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-6018
Practice Address - Country:US
Practice Address - Phone:727-815-1550
Practice Address - Fax:727-815-0667
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME57702207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine