Provider Demographics
NPI:1750305470
Name:MARTIN, MARY ANN NHAN (MD)
Entity Type:Individual
Prefix:
First Name:MARY ANN
Middle Name:NHAN
Last Name:MARTIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:8352 W WARM SPRINGS RD FL 3
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-3628
Mailing Address - Country:US
Mailing Address - Phone:702-851-7287
Mailing Address - Fax:702-552-0344
Practice Address - Street 1:8352 W WARM SPRINGS RD FL 3
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113
Practice Address - Country:US
Practice Address - Phone:702-851-7287
Practice Address - Fax:702-552-0344
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2019-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA95177207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA95177Medicare UPIN
CA1750305470Medicare PIN