MEDICARE: NATHAN R. STARKE 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
1	208800000X	Urology Physician	R3597	TX
2	208800000X	Urology Physician	0101260346	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386936680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATHAN R. STARKE MD

Provider Business Mailing Address
First Line	:	2651 KIPLING ST APT 1816
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-1884
Country	:	US
Telephone Number	:	713-584-5480
Fax Number	:

Provider Business Practice Location Address
First Line	:	2651 KIPLING ST APT 1816
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-1884
Country	:	US
Telephone Number	:	713-584-5480
Fax Number	:

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

Provider Enumeration Date	:	05/05/2011
Last Update Date	:	03/25/2026

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Directions to “ NATHAN R. STARKE MD” Practice Location

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