Healthcare Provider Details

I. General information

NPI: 1093624637
Provider Name (Legal Business Name): EINSTEIN PODIATRY ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12401 ACADEMY RD STE 201
PHILADELPHIA PA
19154-1934
US

IV. Provider business mailing address

1335 W TABOR RD STE 105
PHILADELPHIA PA
19141-3039
US

V. Phone/Fax

Practice location:
  • Phone: 215-637-3121
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: MOHAMMAD ADNAN MALIK
Title or Position: PARTNER
Credential: DPM
Phone: 267-218-4180