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NPI Code Detail

MEDICARE: DR. CHANDA DAY HOUTS DPM

MEDICARE: DR. CHANDA DAY HOUTS 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
1213E00000XPodiatrist242AL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3C831OTHERALMEDICARE GROUP PAYOR ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1515-04956OTHERALBLUE CROSS/BLUE SHIELD
22710180OTHERALUNITED HEALTH CARE

General Provider Information

NPI Number : 1841219078
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHANDA DAY HOUTS DPM
Provider Business Mailing Address
First Line : 875 FRIENDSHIP RD
Second Line : SUITE K
City : TALLASSEE
State : AL
Zip : 36078-1234
Country : US
Telephone Number : 334-283-3897
Fax Number : 334-283-3899
Provider Business Practice Location Address
First Line : 875 FRIENDSHIP RD
Second Line : SUITE K
City : TALLASSEE
State : AL
Zip : 36078-1234
Country : US
Telephone Number : 334-283-3897
Fax Number : 334-283-3899
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 03/31/2008

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Directions to “ DR. CHANDA DAY HOUTS DPM” Practice Location

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