Provider Demographics
NPI:1073517637
Name:STARKMAN, MARTIN T (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:T
Last Name:STARKMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7603 FOREST AVE
Mailing Address - Street 2:STE 303
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-4937
Mailing Address - Country:US
Mailing Address - Phone:804-282-8005
Mailing Address - Fax:804-288-0269
Practice Address - Street 1:7603 FOREST AVE
Practice Address - Street 2:STE 303
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-4937
Practice Address - Country:US
Practice Address - Phone:804-282-8005
Practice Address - Fax:804-288-0269
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-10
Last Update Date:2009-11-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101026599207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6037704Medicaid
VA6037704Medicaid
VAB08257Medicare UPIN