# DR. MARTHA E FAGAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1831179373
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 0101233798 | VA | — |
| 207V00000X | Obstetrics & Gynecology Physician | 01066632A | IN | Yes |

## Other

- **Enumeration date:** 01/19/2006
- **Last updated:** 05/13/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200946410 | — | IN |
| 05 | — | 3033461 | — | OH |