BURAKOVSKIY DPM PC NPI 1881777266

NPI Information

BURAKOVSKIY, DPM PC is a foot and ankle surgery podiatrist in Kirkland, WA. BURAKOVSKIY, DPM PC NPI is 1881777266. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Integrative Foot And Ankle Centers Of Washington.

The provider's business location address is:

13030 121ST WAY NE
SUITE 204
KIRKLAND, WA
ZIP 98034
Phone: (425) 822-7426
Fax: (425) 827-1717

The provider's authorized official is Mikhail Burakovskiy .
The authorized official title is Owner/provider and has the following contact phone number (425) 822-7426.

The CLIA number assigned to this NPI record is 50D2233920 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 7/24/2015.

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:

Other Identifiers

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