Maricopa Podiatry Corporation

LBN: Maricopa Podiatry Corporation
Maricopa Podiatry Corporation is an health care organization with primary practice located at 12361 W Bola Dr Suite 100, Surprise AZ 85378-9021. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as the primary health care specialty. Maricopa Podiatry Corporation can be contacted via phone (623) 214-3335, or through Udupa, Tharesh via phone (623) 214-3335.

Contact Information

Primary practice address
12361 W Bola Dr Suite 100 Surprise AZ 85378-9021
Phone: (623) 214-3335
Fax: (623) 214-3956
Website:
Map and Directions
Authorized official contact:
Name: Udupa, Tharesh Doctor of Podiatric Medicine (DPM)
Phone: (623) 214-3335

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 0599 Arizona

Profile Details

NPI number 1649456229
LBN Legal business name Maricopa Podiatry Corporation
DBA Doing business as
Authorized official Udupa, Tharesh Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 14th, 2008
Last updated Sep 10th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649456229 NPPES
Arizona MEDICAID 842171

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