Individual
BRANDON KEITH MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14300 E 138TH, FISHERS, IN 46037-0050
(877) 362-2778
Mailing address
679 E COUNTY LINE RD, GREENWOOD, IN 46143-1049
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
125-052175
IL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
01069198A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201022130
—
IN
Enumeration date
07/10/2008
Last updated
01/14/2025
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