Individual provider · Type 1 NPI
Kenneth Wade Martin, MD
Diagnostic Radiology Physician · Philadelphia, PA
NPI number
1265471338
Active
Practice location
160 E Erie Ave
Philadelphia, PA 19134-1011
Mailing address
PO Box 13579
Reading, PA 19612-3579
Other practice locations
- 747 52nd St, Oakland, CA 94609-1809 · (510) 428-3410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiation Oncology Physician | 2085R0001X | MD479412 (PA) |
| Diagnostic Radiology Physician | 2085R0202X | G59973 (CA) |
| Diagnostic Radiology Physician Primary | 2085R0202X | MD479412 (PA) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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- David P. Friedman, MDDiagnostic Radiology Physician Philadelphia, PA NPI 1003831553
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- Ehsan Ranjbar, MD, MPHDiagnostic Radiology Physician Philadelphia, PA NPI 1013814755
About NPI 1265471338
Kenneth Wade Martin, MD's National Provider Identifier is 1265471338, issued on Jun 5, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Philadelphia, PA. The record was last updated on May 22, 2024.