Provider Demographics
NPI:1992930929
Name:MACHINENI, MADHAVI (MD)
Entity type:Individual
Prefix:MRS
First Name:MADHAVI
Middle Name:
Last Name:MACHINENI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MADHAVI
Other - Middle Name:
Other - Last Name:BATTINNI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 8398
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77387-8398
Mailing Address - Country:US
Mailing Address - Phone:214-906-0204
Mailing Address - Fax:832-730-4497
Practice Address - Street 1:150 PINE FOREST DR STE 802
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77384-5317
Practice Address - Country:US
Practice Address - Phone:281-819-7869
Practice Address - Fax:832-730-4494
Is Sole Proprietor?:No
Enumeration Date:2009-05-20
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP3120207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine