MEDICARE: DR. MARTIN T STARKMAN 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
1	207RN0300X	Nephrology Physician	0101026599	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073517637
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARTIN T STARKMAN M.D.

Provider Business Mailing Address
First Line	:	7603 FOREST AVE
Second Line	:	STE 303
City	:	RICHMOND
State	:	VA
Zip	:	23229-4937
Country	:	US
Telephone Number	:	804-282-8005
Fax Number	:	804-288-0269

Provider Business Practice Location Address
First Line	:	7603 FOREST AVE
Second Line	:	STE 303
City	:	RICHMOND
State	:	VA
Zip	:	23229-4937
Country	:	US
Telephone Number	:	804-282-8005
Fax Number	:	804-288-0269

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	11/16/2009

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