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NPI Code Detail

MEDICARE: LADINE PODIATRY, PC

MEDICARE: LADINE 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
1213ES0103XFoot & Ankle Surgery Podiatrist07000950AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DH1868OTHERINPALMETTO GBA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518205509
Entity Type Code : Organization
Provider Name (Legal Business Name) : LADINE PODIATRY, PC
Provider Business Mailing Address
First Line : 8433 HARCOURT RD STE 210
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-2196
Country : US
Telephone Number : 317-876-7361
Fax Number : 317-876-7370
Provider Business Practice Location Address
First Line : 8433 HARCOURT RD
Second Line : SUITE 210
City : INDIANAPOLIS
State : IN
Zip : 46260-2196
Country : US
Telephone Number : 317-876-7361
Fax Number : 317-876-7370
Authorized Official
Title or Position : CREDENIAL SPECIALIST
Name : BARBARA HUNTSMAN
Credential :
Telephone Number : 317-931-0664
Provider Enumeration Date : 01/25/2013
Last Update Date : 08/08/2023

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Directions to “LADINE PODIATRY, PC ” Practice Location

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