Provider Demographics
NPI:1447418926
Name:MACHOGU, EMILY PEARCE (MD)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:PEARCE
Last Name:MACHOGU
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:720 ESKENAZI AVE
Mailing Address - Street 2:FOB-E2141
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-5166
Mailing Address - Country:US
Mailing Address - Phone:317-880-8211
Mailing Address - Fax:317-880-0565
Practice Address - Street 1:720 ESKENAZI AVE
Practice Address - Street 2:FOB-E2141
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-5166
Practice Address - Country:US
Practice Address - Phone:317-880-8211
Practice Address - Fax:317-880-0565
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-30
Last Update Date:2021-11-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01068156A208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics