| NPI | 1528480647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAVEH SOLTANI Member Manager 301-706-5256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: VA 0103300864) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: DC PO1000010) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: VA 0103300864) | |
| 213ES0131X Podiatrist, Foot Surgery (Licence: MD 01354) | |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2014-01-08 |