Gangidine, Matthew Martin

Gangidine, Matthew Martin is an sole proprietor health care provider with primary practice located at 5955 Zeamer Ave , Joint Base Elmendorf-Richardson AK 99506. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Gangidine, Matthew Martin can be contacted via phone (907) 580-5556.

Contact Information

Primary practice address
5955 Zeamer Ave Joint Base Elmendorf-Richardson AK 99506
Phone: (907) 580-5556
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X DR.0064416 Colorado
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X DR.0064416 Colorado

Profile Details

NPI number 1639602956
LBN Legal business name Gangidine, Matthew Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2017
Last updated Sep 14th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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