Healthcare Provider Details

I. General information

NPI: 1376222166
Provider Name (Legal Business Name): CATUR CHAN DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2023
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 E BROAD ST STE 220
SOUDERTON PA
18964-1263
US

IV. Provider business mailing address

601 E BROAD ST STE 220
SOUDERTON PA
18964-1263
US

V. Phone/Fax

Practice location:
  • Phone: 215-723-9688
  • Fax:
Mailing address:
  • Phone: 215-723-9688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberSC007362
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberSC007362
License Number StatePA
# 4
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberSC007362
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: