Healthcare Provider Details

I. General information

NPI: 1427071497
Provider Name (Legal Business Name): FOOT CARE NETWORK PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 09/15/2023
Certification Date: 09/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35450 DEQUINDRE RD STE 106
STERLING HTS MI
48310-4810
US

IV. Provider business mailing address

55 E LONG LAKE RD STE 472
TROY MI
48085-4738
US

V. Phone/Fax

Practice location:
  • Phone: 248-524-9994
  • Fax: 248-524-9995
Mailing address:
  • Phone: 248-524-9994
  • Fax: 248-524-9995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberKK001963
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberJS00061O
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code261QP1100X
TaxonomyPodiatric Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberNO001696
License Number StateMI

VIII. Authorized Official

Name: DR. NASRIN OVEYS
Title or Position: PRESIDENT
Credential: DPM
Phone: 248-524-9994