MONTICELLO PODIATRY LLC NPI 1508510447

NPI Information

  • NPI: 1508510447
  • Provider Name: MONTICELLO PODIATRY LLC
  • Classification: Podiatrist - 213EP1101X
  • Specialization: Primary Podiatric Medicine
  • Entity Type: Organization
  • Address: 1281 WIN HENTSCHEL BLVD STE 1579
    WEST LAFAYETTE, IN
    ZIP 47906
  • Phone: (765) 430-6963

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NPI Details

MONTICELLO PODIATRY LLC is a primary podiatric medicine podiatrist in West Lafayette, IN. MONTICELLO PODIATRY LLC NPI is 1508510447. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1281 WIN HENTSCHEL BLVD STE 1579
WEST LAFAYETTE, IN
ZIP 47906-357
Phone: (765) 430-6963

The provider's authorized official is Murtuza A. Peerbhai .
The authorized official title is Sole Member and has the following contact phone number (765) 430-6963.

The enumeration date for this NPI number is 2/9/2022 and was last updated on 2/9/2022.

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
1213EP1101XPodiatristPrimary Podiatric MedicineYes

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: 11/21/2025

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