MONTICELLO PODIATRY LLC NPI 1780048108

NPI Information

NPI: 1780048108
Provider Name: MONTICELLO PODIATRY LLC

Other Name: LOGANSPORT PODIATRY

Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
101 W BROADWAY ST
MONTICELLO, IN
ZIP 47960
Phone: (844) 687-3338
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MONTICELLO PODIATRY LLC is a primary podiatric medicine podiatrist in Monticello, IN. MONTICELLO PODIATRY LLC NPI is 1780048108. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Logansport Podiatry.

The provider's business location address is:

101 W BROADWAY ST
MONTICELLO, IN
ZIP 47960-110
Phone: (844) 687-3338
Fax: (844) 687-3338

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

The enumeration date for this NPI number is 4/12/2016 and was last updated on 4/12/2016.

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	213EP1101X	Podiatrist	Primary Podiatric Medicine	07001110A	INDIANA	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: 5/5/2024

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