Lake Podiatry, Pc in South Haven - Foot & Ankle Surgery
Lake Podiatry, Pc - NPI 1063449346
Lake Podiatry, Pc is a Foot & Ankle Surgery in South Haven, Michigan. Lake Podiatry, Pc practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Lake Podiatry, Pc is 1063449346. The last update date is 2009-05-29.
Lake Podiatry, Pc's current location address is 10570 Blue Star M Hwy, South Haven, Michigan. You can contact this provider via phone number 2699783385 and fax number 2699782711. The mailing address for Lake Podiatry, Pc is 10570 Blue Star M Hwy, South Haven, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Podiatry, Pc |
|---|---|
| Address | 10570 Blue Star M Hwy, South Haven, Michigan |
| Phone Number | 2699783385 |
| Fax Number | 2699782711 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ahmed Raziuddin |
| Credentials | DPM |
| Telephone Number | 8185186768 |
NPI Number Detail
| NPI Number | 1063449346 |
|---|---|
| Provider Enumeration Date | 2006-06-26 |
| Last Updated Date | 2009-05-29 |
Provider Mailing Address Detail
| Address | 10570 Blue Star M Hwy |
|---|---|
| City | South Haven |
| State | Michigan (MI) |
| Post Code | 490908923 |
| Phone Number | 2699783385 |
| Fax Number | 2699782711 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 5901002029 |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4952336 | MI | -- | |
| DF2298 | MI | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Lake Podiatry, Pc by the Centers for Medicare & Medicaid Services?
The Lake Podiatry, Pc has been issued the NPI (National Provider Identifier) 1063449346, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Lake Podiatry, Pc's facilities are situated?
The facilities of Lake Podiatry, Pc are physically located at the following address: 10570 Blue Star M Hwy, South Haven, MI, 490908923.
What is Lake Podiatry, Pc's area of expertise and its corresponding taxonomy classification?
The Lake Podiatry, Pc's field of specialization is Foot & Ankle Surgery, and it falls under the taxonomy code 213Es0103X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1063449346 to Lake Podiatry, Pc?
The Centers for Medicare & Medicaid Services assigned the 1063449346 to Lake Podiatry, Pc on 2006-06-26.
As of what date was the information pertaining to Lake Podiatry, Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lake Podiatry, Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-05-29.