Provider Demographics
NPI:1407814825
Name:AINBINDER, MARTIN B (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:B
Last Name:AINBINDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20701 N SCOTTSDALE RD
Mailing Address - Street 2:#107-240
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-6413
Mailing Address - Country:US
Mailing Address - Phone:602-677-2712
Mailing Address - Fax:
Practice Address - Street 1:20701 N SCOTTSDALE RD
Practice Address - Street 2:#107-240
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-6413
Practice Address - Country:US
Practice Address - Phone:602-677-2712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-03
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ337742085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ965478Medicaid
AZAZ0786710OtherBLUE CROSS BLUE SHIELD
AZ965478Medicaid
AZAZ0786710OtherBLUE CROSS BLUE SHIELD