MEDICARE: FOOT CENTER INC

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	0103000750	VA
2	213E00000X	Podiatrist	0103000698	VA

General Provider Information

NPI Number	:	1336270735
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOOT CENTER INC

Provider Business Mailing Address
First Line	:	5311 PATTERSON AVE
Second Line	:	SUITE 110
City	:	RICHMOND
State	:	VA
Zip	:	23226-2041
Country	:	US
Telephone Number	:	804-285-1523
Fax Number	:	804-285-0613

Provider Business Practice Location Address
First Line	:	5311 PATTERSON AVE
Second Line	:	SUITE 110
City	:	RICHMOND
State	:	VA
Zip	:	23226-2041
Country	:	US
Telephone Number	:	804-285-1523
Fax Number	:	804-285-0613

Authorized Official
Title or Position	:	PRESIDENT OF THE FOOT CENTER DOCTOR
Name	:	MR. NOEL P PATEL
Credential	:	DPM
Telephone Number	:	804-285-1523

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	03/27/2014

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5311 PATTERSON AVE , SUITE 110 THE FOOT CENTER INC
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Directions to “FOOT CENTER INC ” Practice Location

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