MEDICARE: ACADEMY FOOT AND ANKLE CLINICS LTD

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	213ES0103X	Foot & Ankle Surgery Podiatrist	00189	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	480009265	OTHER	AZ	RAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1477730315
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACADEMY FOOT AND ANKLE CLINICS LTD

Provider Business Mailing Address
First Line	:	5300 E ERICKSON DR
Second Line	:	SUITE 118
City	:	TUCSON
State	:	AZ
Zip	:	85712-2828
Country	:	US
Telephone Number	:	520-326-6766
Fax Number	:	520-323-6660

Provider Business Practice Location Address
First Line	:	5300 E ERICKSON DR
Second Line	:	SUITE 118
City	:	TUCSON
State	:	AZ
Zip	:	85712-2828
Country	:	US
Telephone Number	:	520-326-6766
Fax Number	:	520-323-6660

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. AMRAM DAHUKEY
Credential	:	DPM
Telephone Number	:	520-326-6766

Provider Enumeration Date	:	01/23/2008
Last Update Date	:	01/31/2011

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Directions to “ACADEMY FOOT AND ANKLE CLINICS LTD ” Practice Location

Language	Start Address	Practice Location

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