=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891445557
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KIRTAN CHOKSHI DPM
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/25/2022
-----------------------------------------------------
Last Update Date | 09/08/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 914 S 12TH ST
-----------------------------------------------------
City | ALTOONA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 16602-6247
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 814-201-2309
-----------------------------------------------------
Fax | 814-201-2389
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 914 S 12TH ST
-----------------------------------------------------
City | ALTOONA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 16602-6247
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 814-201-2309
-----------------------------------------------------
Fax | 814-201-2389
-----------------------------------------------------
=====================================================
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 | SC007521
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------