DEARBORN PODIATRY CLINIC PLLC NPI 1912383928

NPI Information

NPI: 1912383928
Provider Name: DEARBORN PODIATRY CLINIC PLLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
7633 E JEFFERSON AVE
SUITE 250
DETROIT, MI
ZIP 48214
Phone: (313) 821-3338
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DEARBORN PODIATRY CLINIC PLLC is a foot and ankle surgery podiatrist in Detroit, MI. DEARBORN PODIATRY CLINIC PLLC NPI is 1912383928. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7633 E JEFFERSON AVE
SUITE 250
DETROIT, MI
ZIP 48214-730
Phone: (313) 821-3338
Fax: (313) 823-5363

The provider's authorized official is Amer El-khatib .
The authorized official title is Owner and has the following contact phone number (313) 443-7770.

The enumeration date for this NPI number is 8/3/2015 and was last updated on 8/3/2015.

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	213ES0103X	Podiatrist	Foot & Ankle Surgery			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: 11/14/2023

NPI Synchronization or Removal

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