Individual
MARK A. BURKETT
Active
Individual
MARK A. BURKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02002438A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000210720
ANTHEM
IN
01
—
00000968827 05
UNITED HEALTHCARE
—
01
—
110231565
RAILROAD MEDICARE
IN
01
—
12730
PHYSICIANS HEALTH PLAN
IN
05
—
200367950
—
IN
01
—
3937240004
MEDICARE DMEPOS
IN
01
—
4270901
AETNA
—
Enumeration date
12/06/2005
Last updated
03/25/2013
Update your record
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