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NPI Code Detail

MEDICARE: DR. MARTY CHRISTOPHER MCGRAW M.D.

MEDICARE: DR. MARTY CHRISTOPHER MCGRAW M.D.
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
12085B0100XBody Imaging PhysicianME95283FL
22085N0904XNuclear Radiology PhysicianDR.0061266CO
32085P0229XPediatric Radiology PhysicianDR.0061266CO
42085R0202XDiagnostic Radiology Physician324756NY
52085P0229XPediatric Radiology Physician324756NY
62085P0229XPediatric Radiology PhysicianME95283FL

General Provider Information

NPI Number : 1043287311
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARTY CHRISTOPHER MCGRAW M.D.
Provider Business Mailing Address
First Line : 6535 NEMOURS PKWY
Second Line :
City : ORLANDO
State : FL
Zip : 32827-7884
Country : US
Telephone Number : 407-650-7323
Fax Number : 321-388-0162
Provider Business Practice Location Address
First Line : 6535 NEMOURS PKWY
Second Line :
City : ORLANDO
State : FL
Zip : 32827-7884
Country : US
Telephone Number : 407-650-7323
Fax Number : 321-388-0162
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2006
Last Update Date : 08/24/2023

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