Provider Demographics
NPI:1043065402
Name:MACHIKAN, ANTHONY JAVED (MBBCH)
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:JAVED
Last Name:MACHIKAN
Suffix:
Gender:M
Credentials:MBBCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 BHARATH STREET PASEA EXTENSION
Mailing Address - Street 2:TUNAPUNA
Mailing Address - City:TUNAPUNA
Mailing Address - State:TUNAPUNA
Mailing Address - Zip Code:NA NA NA
Mailing Address - Country:TT
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:20 YORK ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-3220
Practice Address - Country:US
Practice Address - Phone:203-688-4242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-19
Last Update Date:2025-09-11
Deactivation Date:2024-12-12
Deactivation Code:
Reactivation Date:2025-09-11
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program