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ATTA J ASEF DPM LTD NPI 1073793154


NPI Information

NPI: 1073793154
Provider Name: ATTA J ASEF DPM LTD

Doing Business As: LAKE PODIATRY

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
35010 CHARDON RD
101A
WILLOUGHBY HILLS, OH
ZIP 44094
Phone: (440) 953-1003
Get Directions

ATTA J ASEF DPM LTD is a podiatrist in Willoughby Hills, OH. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. ATTA J ASEF DPM LTD NPI is 1073793154. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lake Podiatry.

The provider's business location address is:

35010 CHARDON RD
101A
WILLOUGHBY HILLS, OH
ZIP 44094-010
Phone: (440) 953-1003
Fax: (440) 953-3556

The provider's authorized official is Atta Asef .
The authorized official title is Owner and has the following contact phone number (440) 953-1003.

The enumeration date for this NPI number is 11/6/2007 and was last updated on 12/14/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist36002887AOHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1480029857MEDICARE PINOHIO
29329742MEDICARE PINOHIO
32085023MEDICAIDOHIO
44771320004MEDICARE NSCOHIO
59329741MEDICARE PINOHIO
69329743MEDICARE PINOHIO
73025514MEDICAIDOHIO

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

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