# DR. MARTIN ALAN FELDMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1740272921
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2104 | AZ | Yes |

## Other

- **Enumeration date:** 08/16/2005
- **Last updated:** 11/18/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0179654 | DEPT OF LABOR & INDUSTRIE | AZ |
| 01 | — | 1072107 | CIGNA | AZ |
| 01 | — | 1Z8791 | HEALTHNET | AZ |
| 01 | — | 22072104 | ICA | AZ |
| 05 | — | 265711 | — | AZ |
| 01 | — | 4240133 | AETNA | AZ |
| 01 | — | 860676047 | TAX ID | AZ |
| 01 | — | AZ0062880 | BCBS OF AZ | AZ |