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NPI Code Detail

MEDICARE: DR. SAREPTA ISAAC DPM

MEDICARE: DR. SAREPTA ISAAC DPM
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
1213E00000XPodiatristPOD001275GA
2213E00000XPodiatristDPM0000000774TN
3213E00000XPodiatrist844NC
4213E00000XPodiatrist320AL
5213E00000XPodiatrist80223MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316387038
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAREPTA ISAAC DPM
Provider Business Mailing Address
First Line : 5730 EXECUTIVE DR STE 230
Second Line :
City : CATONSVILLE
State : MD
Zip : 21228-1762
Country : US
Telephone Number : 704-443-6250
Fax Number :
Provider Business Practice Location Address
First Line : 2030 WINDSOR RUN LN
Second Line :
City : MATTHEWS
State : NC
Zip : 28105-0054
Country : US
Telephone Number : 704-443-6250
Fax Number : 704-443-6279
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2013
Last Update Date : 03/12/2026

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