MEDICARE: MARK IRA FELDMAN, M D P C

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	207RC0000X	Cardiovascular Disease Physician	5756	AZ

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	:	1144549510
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARK IRA FELDMAN, M D P C

Provider Business Mailing Address
First Line	:	2990 N CAMPBELL AVE STE 210
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85719-2995
Country	:	US
Telephone Number	:	520-327-3644
Fax Number	:	520-327-4867

Provider Business Practice Location Address
First Line	:	3801 N CAMPBELL AVE STE C
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85719-1448
Country	:	US
Telephone Number	:	520-327-3644
Fax Number	:	520-327-4867

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	MARK I FELDMAN
Credential	:	MD
Telephone Number	:	520-327-3644

Provider Enumeration Date	:	05/25/2010
Last Update Date	:	10/16/2025

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