Provider Demographics
NPI:1750412938
Name:CHIPI, MARTHA R (MD)
Entity type:Individual
Prefix:DR
First Name:MARTHA
Middle Name:R
Last Name:CHIPI
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1311 NW 94TH TER
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322-4226
Mailing Address - Country:US
Mailing Address - Phone:954-551-5838
Mailing Address - Fax:954-578-0050
Practice Address - Street 1:4269 N PINE ISLAND RD
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-6044
Practice Address - Country:US
Practice Address - Phone:954-578-0200
Practice Address - Fax:954-578-0050
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM95204207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMG-14525Medicare UPIN