Healthcare Provider Details

I. General information

NPI: 1629972187
Provider Name (Legal Business Name): US FOOT CARE PODIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24732 MALIBU TER
STERLING VA
20166-2748
US

IV. Provider business mailing address

24732 MALIBU TER
STERLING VA
20166-2748
US

V. Phone/Fax

Practice location:
  • Phone: 347-749-2575
  • Fax:
Mailing address:
  • Phone: 347-749-2575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number
License Number StateNULL

VIII. Authorized Official

Name: UMAY ROBAAB MUGHAL
Title or Position: PODIATRIST
Credential: DPM
Phone: 347-749-2575