MEDICARE: DR. LINDA F. MARTIN 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	207V00000X	Obstetrics & Gynecology Physician	01034030A	IN
2	207Q00000X	Family Medicine Physician	01034030A	IN

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	:	1538135827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINDA F. MARTIN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1239
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48099-1239
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9100 PURDUE RD
Second Line	:	STE 102
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-1172
Country	:	US
Telephone Number	:	574-208-9270
Fax Number	:

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

Provider Enumeration Date	:	02/27/2006
Last Update Date	:	03/28/2017

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