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1629972187 NPI number — US FOOT CARE PODIATRY PLLC

NPI Number: 1629972187
Health Care Provider/Practitioner: US FOOT CARE PODIATRY PLLC

Information about “1629972187” NPI (US FOOT CARE PODIATRY PLLC) exists in 1629972187 in HTML format HTML  |  1629972187 in plain Text format TXT  |  1629972187 in PDF (Portable Document Format) PDF  |  1629972187 in an XML format XML  formats.

NPI Number : 1629972187 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1629972187",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "US FOOT CARE PODIATRY PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "24732 MALIBU TER",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STERLING",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "20166-2748",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "347-749-2575",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "24732 MALIBU TER",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "STERLING",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "20166-2748",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "347-749-2575",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/06/2026",
    "LastUpdateDate": "10/07/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MUGHAL",
    "AuthorizedOfficialFirstName": "UMAY",
    "AuthorizedOfficialMiddleName": "ROBAAB",
    "AuthorizedOfficialTitle": "PODIATRIST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DPM",
    "AuthorizedOfficialTelephoneNumber": "347-749-2575",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "213EP1101X",
        "TaxonomyName": "Primary Podiatric Medicine Podiatrist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "NULL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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