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NPI Code Detail

MEDICARE: KATHERINE MARTINEZ CARMONA MD

MEDICARE: KATHERINE MARTINEZ CARMONA MD
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
1390200000XStudent in an Organized Health Care Education/Training ProgramMI

General Provider Information

NPI Number : 1346184793
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE MARTINEZ CARMONA MD
Provider Business Mailing Address
First Line : 1 HERMANN PARK CT APT 539
Second Line :
City : HOUSTON
State : TX
Zip : 77021-2297
Country : US
Telephone Number : 346-845-5489
Fax Number :
Provider Business Practice Location Address
First Line : 3990 JOHN R ST
Second Line :
City : DETROIT
State : MI
Zip : 48201-2018
Country : US
Telephone Number : 313-745-4380
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2026
Last Update Date : 04/16/2026

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Directions to “ KATHERINE MARTINEZ CARMONA MD” Practice Location

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