Martinez, Brandon Keith
Martinez, Brandon Keith is an individual health care provider with primary practice located at 8433 Harcourt Rd Ste 100 , Indianapolis IN 46260-2193. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Martinez, Brandon Keith can be contacted via phone (317) 583-7600.Contact Information
Primary practice address
8433 Harcourt Rd Ste 100
Indianapolis IN 46260-2193
Phone: (317) 583-7600
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 125-052175 | Illinois |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 01069198A | Indiana |
Profile Details
NPI number | 1023271947 |
---|---|
LBN Legal business name | Martinez, Brandon Keith |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 10th, 2008 |
Last updated | Dec 16th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023271947 | NPPES |
Indiana | MEDICAID | 201022130 |
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