Srd Podiatry P.C. in Merrillville - Primary Podiatric Medicine
Srd Podiatry P.C. - NPI 1376749168
Srd Podiatry P.C. is a Primary Podiatric Medicine in Merrillville, Indiana. Srd Podiatry P.C. practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Srd Podiatry P.C. is 1376749168. The last update date is 2020-08-22.
Srd Podiatry P.C.'s current location address is 1237 W. 82nd Pl, Merrillville, Indiana. You can contact this provider via phone number 2197910667 and fax number 2197910657. The mailing address for Srd Podiatry P.C. is 1237 W. 82nd Pl, Merrillville, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Srd Podiatry P.C. |
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Address | 1237 W. 82nd Pl, Merrillville, Indiana |
Phone Number | 2197910667 |
Fax Number | 2197910657 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO |
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Authorized Official Name | Dillon R Sherese |
Credentials | DPM |
Telephone Number | 2197910667 |
NPI Number Detail
NPI Number | 1376749168 |
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Provider Enumeration Date | 2007-06-27 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 1237 W. 82nd Pl |
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City | Merrillville |
State | Indiana (IN) |
Post Code | 46410 |
Phone Number | 2197910667 |
Fax Number | 2197910657 |
Provider's Primary Taxonomy Detail
Speciality | Primary Podiatric Medicine |
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Taxonomy | 213Ep1101X |
Licence No | 07000980A |
Definition: A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities. |
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What is the Srd Podiatry P.C.'s unique identification number?
The Srd Podiatry P.C. has been assigned the NPI (National Provider Identifier) Number 1376749168 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Srd Podiatry P.C. is geographically located?
The Srd Podiatry P.C. is physically situated at the following location: 1237 W. 82Nd Pl, Merrillville, IN, 46410.
What is the Srd Podiatry P.C.'s specialty and taxonomy code?
The Srd Podiatry P.C.'s specialty is Primary Podiatric Medicine, and the corresponding taxonomy code is 213Ep1101X.
On what date did the Srd Podiatry P.C. receive its 1376749168 assignment from the Centers for Medicare & Medicaid Services?
The Srd Podiatry P.C. was assigned its 1376749168 by the Centers for Medicare & Medicaid Services on 2007-06-27.
As of what date was the information regarding Srd Podiatry P.C., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Srd Podiatry P.C., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.