Provider Demographics
NPI:1932294972
Name:CLAYMAN, MARTY (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTY
Middle Name:
Last Name:CLAYMAN
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 1:483 W MUNCIE AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93619-8351
Mailing Address - Country:US
Mailing Address - Phone:559-250-8344
Mailing Address - Fax:
Practice Address - Street 1:483 W MUNCIE AVE
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93619-8351
Practice Address - Country:US
Practice Address - Phone:559-250-8344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG73722207L00000X
KY29058207LP3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric AnesthesiologyGroup - Single Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ71868ZMedicaid
CAZZZ71868ZMedicare ID - Type Unspecified
CAZZZ71868ZMedicaid