Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 0101026599 | VA |
NPI | 1073517637 |
---|---|
Provider Name | Dr. Martin T Starkman |
First Address | Richmond, VA 23229-4937 |
Second Address | Richmond, VA 23229-4937 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2005 |
Last Update Date | 16/11/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6037704 | (05) | VA |
B08257 | (02) | VA |