MEDICARE: MARTIN A FELDMAN DO PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	2104	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AZ0062880	OTHER	AZ	BCBS OF AZ
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730308545
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARTIN A FELDMAN DO PC

Provider Business Mailing Address
First Line	:	3229 E GREENWAY RD
Second Line	:	SUITE 101
City	:	PHOENIX
State	:	AZ
Zip	:	85032-4508
Country	:	US
Telephone Number	:	602-942-3750
Fax Number	:	602-942-4245

Provider Business Practice Location Address
First Line	:	3229 E GREENWAY RD
Second Line	:	SUITE 101
City	:	PHOENIX
State	:	AZ
Zip	:	85032-4508
Country	:	US
Telephone Number	:	602-942-3750
Fax Number	:	602-942-4245

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARTIN A FELDMAN
Credential	:	DO
Telephone Number	:	602-942-3750

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	08/22/2020

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Directions to “MARTIN A FELDMAN DO PC ” Practice Location

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