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WOODINVILLE FOOT AND ANKLE CLINIC PLLC NPI 1164989026


NPI Information

NPI: 1164989026
Provider Name: WOODINVILLE FOOT AND ANKLE CLINIC, PLLC
Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
6610 NE 181ST ST STE 4
KENMORE, WA
ZIP 98028
Phone: (425) 892-8054
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WOODINVILLE FOOT AND ANKLE CLINIC, PLLC is a podiatric clinic center in Kenmore, WA. WOODINVILLE FOOT AND ANKLE CLINIC, PLLC NPI is 1164989026. The provider is registered as an organization entity type.

The provider's business location address is:

6610 NE 181ST ST STE 4
KENMORE, WA
ZIP 98028-867
Phone: (425) 892-8054
Fax: (425) 419-4379

The provider's authorized official is Vinai Prakash .
The authorized official title is Owner and has the following contact phone number (425) 892-8054.

The enumeration date for this NPI number is 2/27/2019 and was last updated on 2/27/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP1100XClinic/CenterPodiatricYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12117824MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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