MEDICARE: DR. ZAHID AMIRALI LADHA DPM.,F.A.C.F.A.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	07000878	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	480028913	OTHER	IN	RAILROAD MEDICARE NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000042802	OTHER	IN	ANTHEM PROVIDER NUMBER
2	5619947	OTHER	IL	BC BC OF IL
3	5597719	OTHER	IN	AETNA PROVIDER NUMBER

General Provider Information

NPI Number	:	1396890968
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZAHID AMIRALI LADHA DPM.,F.A.C.F.A.S.

Provider Business Mailing Address
First Line	:	3605 NORTHGATE CT
Second Line	:	SUITE 206
City	:	NEW ALBANY
State	:	IN
Zip	:	47150-6400
Country	:	US
Telephone Number	:	812-945-9221
Fax Number	:	812-945-7141

Provider Business Practice Location Address
First Line	:	3605 NORTHGATE CT
Second Line	:	SUITE 206
City	:	NEW ALBANY
State	:	IN
Zip	:	47150-6400
Country	:	US
Telephone Number	:	812-945-9221
Fax Number	:	812-945-7141

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	12/01/2011

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Directions to “ DR. ZAHID AMIRALI LADHA DPM.,F.A.C.F.A.S.” Practice Location

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