Lifestyle Podiatry, Pc in Suwanee - Foot Surgery

Lifestyle Podiatry, Pc - NPI 1477743698

Lifestyle Podiatry, Pc is a Foot Surgery in Suwanee, Georgia. Lifestyle Podiatry, Pc practices all healthcare services and medical treatments related to Foot Surgery. The NPI Number for Lifestyle Podiatry, Pc is 1477743698. The last update date is 2012-12-26.

Lifestyle Podiatry, Pc's current location address is 1466 Bluff Ct, Suwanee, Georgia. You can contact this provider via phone number 7703499861. The mailing address for Lifestyle Podiatry, Pc is 1466 Bluff Ct, Suwanee, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lifestyle Podiatry, Pc
Address 1466 Bluff Ct, Suwanee, Georgia
Phone Number 7703499861
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Thaker D Maitraya
Credentials DPM
Telephone Number 7703499861

NPI Number Detail

NPI Number 1477743698
Provider Enumeration Date 2007-07-25
Last Updated Date 2012-12-26

Provider Mailing Address Detail

Address 1466 Bluff Ct
City Suwanee
State Georgia (GA)
Post Code 300243650
Phone Number 7703499861
Fax Number

Provider's Primary Taxonomy Detail

Speciality Foot Surgery
Taxonomy 213Es0131X
Licence No N004044
Definition:
A doctor of podiatric medicine who specializes in performing foot and ankle surgeries.

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FAQs about Lifestyle Podiatry, Pc

What is the unique identification code assigned to Lifestyle Podiatry, Pc by the Centers for Medicare & Medicaid Services?

The Lifestyle Podiatry, Pc has been issued the NPI (National Provider Identifier) 1477743698. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Lifestyle Podiatry, Pc is physically located?

The Lifestyle Podiatry, Pc is physically situated at the following address: 1466 Bluff Ct, Suwanee, GA, 300243650.

What is Lifestyle Podiatry, Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Lifestyle Podiatry, Pc is Foot Surgery, and the taxonomy classification code that categorizes this area of expertise is 213Es0131X.

When was the Lifestyle Podiatry, Pc's 1477743698 issued?

The Lifestyle Podiatry, Pc's 1477743698 was issued on 2007-07-25.

When was the information regarding Lifestyle Podiatry, Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Lifestyle Podiatry, Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-12-26.

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