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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023271947 NPPES
Indiana MEDICAID 201022130

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