Healthcare Provider Details

I. General information

NPI: 1003752445
Provider Name (Legal Business Name): ANKUR BAHRI PODIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 KINGS HWY
BROOKLYN NY
11223-1068
US

IV. Provider business mailing address

41 PLAFSKY DR
EDISON NJ
08817-2239
US

V. Phone/Fax

Practice location:
  • Phone: 445-205-9768
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ANKUR BAHRI
Title or Position: CEO
Credential: DPM
Phone: 445-205-9768