EASTSIDE PODIATRY PLLC NPI 1831098391

NPI Information

  • NPI: 1831098391
  • Provider Name: EASTSIDE PODIATRY PLLC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 31046 UTICA RD
    FRASER, MI
    ZIP 48026
  • Phone: (586) 368-3112

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NPI Details

EASTSIDE PODIATRY PLLC is a foot and ankle surgery podiatrist in Fraser, MI. EASTSIDE PODIATRY PLLC NPI is 1831098391. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

31046 UTICA RD
FRASER, MI
ZIP 48026-534
Phone: (586) 368-3112

The provider's authorized official is Hatim Tahir Burhani .
The authorized official title is Owner and has the following contact phone number (313) 884-7566.

The enumeration date for this NPI number is 11/2/2026 and was last updated on 11/2/2026.

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 SurgeryYes

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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