MIRAGE PODIATRY FOOT AND ANKLE SPECIALISTS NPI 1114545506

NPI Information

NPI: 1114545506
Provider Name: MIRAGE PODIATRY FOOT AND ANKLE SPECIALISTS
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
9250 N 3RD ST STE 3020
PHOENIX, AZ
ZIP 85020
Phone: (480) 939-3440
Get Directions

MIRAGE PODIATRY FOOT AND ANKLE SPECIALISTS is a foot and ankle surgery podiatrist in Phoenix, AZ. MIRAGE PODIATRY FOOT AND ANKLE SPECIALISTS NPI is 1114545506. The provider is registered as an organization entity type.

The provider's business location address is:

9250 N 3RD ST STE 3020
PHOENIX, AZ
ZIP 85020-425
Phone: (480) 939-3440
Fax: (480) 939-3448

The provider's authorized official is Hammad Mohammad Zafar .
The authorized official title is Doctor and has the following contact phone number (480) 358-7970.

The enumeration date for this NPI number is 7/11/2020 and was last updated on 9/26/2023.

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	Primary
1	261QP1100X	Clinic/Center	Podiatric	No
2	332B00000X	Durable Medical Equipment & Medical Supplies		No
3	213ES0103X	Podiatrist	Foot & Ankle Surgery	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1164752283	MEDICAID	ARIZONA
2	1164809711	MEDICAID	ARIZONA

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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