Eastside Podiatry Pllc

LBN: Eastside Podiatry Pllc
Eastside Podiatry Pllc is an health care organization with primary practice located at 24025 Greater Mack Suite 101, Saint Clair Shores MI 48080. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Eastside Podiatry Pllc can be contacted via phone (313) 884-7566, or through Burhani, Hatim Tahir via phone (313) 884-7566.

Contact Information

Primary practice address
24025 Greater Mack Suite 101 Saint Clair Shores MI 48080
Phone: (313) 884-7566
Fax: (313) 884-3140
Website:
Map and Directions
Authorized official contact:
Name: Burhani, Hatim Tahir Doctor of Podiatric Medicine (DPM)
Phone: (313) 884-7566

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 5901002021 Michigan

Profile Details

NPI number 1144377821
LBN Legal business name Eastside Podiatry Pllc
DBA Doing business as
Authorized official Burhani, Hatim Tahir Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2007
Last updated May 22nd, 2018 - about 8 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 1144377821 NPPES
Michigan MEDICAID 4476009

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