Provider Demographics
NPI:1124235536
Name:MACHADO, RODOLFO ROZINDO (MD)
Entity type:Individual
Prefix:DR
First Name:RODOLFO
Middle Name:ROZINDO
Last Name:MACHADO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3623 J DEWEY GRAY CIR STE 202
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-6554
Mailing Address - Country:US
Mailing Address - Phone:706-922-9222
Mailing Address - Fax:706-922-5766
Practice Address - Street 1:3623 J DEWEY GRAY CIR STE 202
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-6554
Practice Address - Country:US
Practice Address - Phone:706-863-8155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLL34429207RC0000X
GA69351207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease