DR. AMANDA LYNNE MUDEK DPM NPI 1134494834

NPI Information

NPI: 1134494834
Provider Name: DR. AMANDA LYNNE MUDEK, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
2520 HARVARD AVE FL 1
METAIRIE, LA
ZIP 70001
Phone: (504) 708-4810
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DR. Amanda Lynne Mudek, DPM is a foot and ankle surgery podiatrist in Metairie, LA with 13 years of experience. DR. Amanda Lynne Mudek, DPM NPI is 1134494834. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2011

The provider's business location address is:

2520 HARVARD AVE FL 1
METAIRIE, LA
ZIP 70001-172
Phone: (504) 708-4810

The NPI 1134494834 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 3/13/2012 and was last updated on 11/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	325550	LOUISIANA	No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	325547	LOUISIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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