MEDICARE: DR. MARTIN ALAN FELDMAN D.O.

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	207Q00000X	Family Medicine Physician	2104	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	860676047	OTHER	AZ	TAX ID
2	1072107	OTHER	AZ	CIGNA
3	4240133	OTHER	AZ	AETNA
4	AZ0062880	OTHER	AZ	BCBS OF AZ
5	22072104	OTHER	AZ	ICA
6	0179654	OTHER	AZ	DEPT OF LABOR & INDUSTRIE
7	1Z8791	OTHER	AZ	HEALTHNET
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740272921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARTIN ALAN FELDMAN D.O.

Provider Business Mailing Address
First Line	:	3620 N 3RD ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85012-2020
Country	:	US
Telephone Number	:	602-230-7373
Fax Number	:	602-230-5105

Provider Business Practice Location Address
First Line	:	750 E THUNDERBIRD RD STE 1-3
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85022-5306
Country	:	US
Telephone Number	:	602-230-7373
Fax Number	:	602-218-6383

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

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	11/18/2021

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Directions to “ DR. MARTIN ALAN FELDMAN D.O.” Practice Location

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