MEDICARE: TRUESTRIDE PODIATRY PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist

General Provider Information

NPI Number	:	1306708086
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUESTRIDE PODIATRY PC

Provider Business Mailing Address
First Line	:	590 HEMBREE RD
Second Line	:
City	:	ROSWELL
State	:	GA
Zip	:	30076-1018
Country	:	US
Telephone Number	:	770-904-9114
Fax Number	:

Provider Business Practice Location Address
First Line	:	1640 POWERS FERRY RD SE BLDG 11
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30067-5491
Country	:	US
Telephone Number	:	770-904-9114
Fax Number	:

Authorized Official
Title or Position	:	OWNER OF THE ENTITY
Name	:	ZAHEER AHAMMAD
Credential	:
Telephone Number	:	517-755-9616

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

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Directions to “TRUESTRIDE PODIATRY PC ” Practice Location

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