=====================================================
General NPI Number Information
=====================================================
NPI Number | 1396890968
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ZAHID AMIRALI LADHA DPM.,F.A.C.F.A.S.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/24/2007
-----------------------------------------------------
Last Update Date | 12/01/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3605 NORTHGATE CT SUITE 206
-----------------------------------------------------
City | NEW ALBANY
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 47150-6400
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 812-945-9221
-----------------------------------------------------
Fax | 812-945-7141
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3605 NORTHGATE CT SUITE 206
-----------------------------------------------------
City | NEW ALBANY
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 47150-6400
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 812-945-9221
-----------------------------------------------------
Fax | 812-945-7141
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 213ES0103X
-----------------------------------------------------
Taxonomy Name | Foot & Ankle Surgery Podiatrist
-----------------------------------------------------
License Number | 07000878
-----------------------------------------------------
License Number State | IN
-----------------------------------------------------