Provider Demographics
NPI:1740357862
Name:CARR, MARTIN C (MD)
Entity type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:C
Last Name:CARR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:500 SUTTER STREET
Mailing Address - Street 2:SUITE 320
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102
Mailing Address - Country:US
Mailing Address - Phone:415-391-4420
Mailing Address - Fax:415-435-2914
Practice Address - Street 1:500 SUTTER STREET
Practice Address - Street 2:SUITE 320
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102
Practice Address - Country:US
Practice Address - Phone:415-391-4420
Practice Address - Fax:415-435-2914
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG10392207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A37957Medicare UPIN
00G103920Medicare ID - Type Unspecified