CHANTILLY FOOT & ANKLE CENTER LLC NPI 1811079965

NPI Information

  • NPI: 1811079965
  • Provider Name: CHANTILLY FOOT & ANKLE CENTER, LLC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 4080 LAFAYETTE CENTER DR
    SUITE 170
    CHANTILLY, VA
    ZIP 20151
  • Phone: (703) 490-5599

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NPI Details

CHANTILLY FOOT & ANKLE CENTER, LLC is a foot and ankle surgery podiatrist in Chantilly, VA. CHANTILLY FOOT & ANKLE CENTER, LLC NPI is 1811079965. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4080 LAFAYETTE CENTER DR
SUITE 170
CHANTILLY, VA
ZIP 20151-247
Phone: (703) 490-5599
Fax: (703) 766-5047

The provider's authorized official is Farshad Bathaee .
The authorized official title is Owner and has the following contact phone number (703) 490-5599.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 8/22/2020.

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
1213ES0103XPodiatristFoot & Ankle Surgery0103300742VIRGINIAYes

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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