Healthcare Provider Details

I. General information

NPI: 1396890968
Provider Name (Legal Business Name): ZAHID AMIRALI LADHA DPM.,F.A.C.F.A.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 12/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3605 NORTHGATE CT SUITE 206
NEW ALBANY IN
47150-6400
US

IV. Provider business mailing address

3605 NORTHGATE CT SUITE 206
NEW ALBANY IN
47150-6400
US

V. Phone/Fax

Practice location:
  • Phone: 812-945-9221
  • Fax: 812-945-7141
Mailing address:
  • Phone: 812-945-9221
  • Fax: 812-945-7141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number07000878
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: