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.
Address 1237 W. 82nd Pl, Merrillville, Indiana
Phone Number 2197910667
Fax Number 2197910657
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Dillon R Sherese
Credentials DPM
Telephone Number 2197910667

NPI Number Detail

NPI Number 1376749168
Provider Enumeration Date 2007-06-27
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1237 W. 82nd Pl
City Merrillville
State Indiana (IN)
Post Code 46410
Phone Number 2197910667
Fax Number 2197910657

Provider's Primary Taxonomy Detail

Speciality Primary Podiatric Medicine
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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FAQs about Srd Podiatry P.C.

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.

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