| Organization Name: | DR JAMES BANGAYAN FOOT & ANKLE SPECIALTY INC |
| NPI Number: | 1043518194 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES P BANGAYAN (OWNER) |
| Mailing Address: | 5 Severance Cir Suite 804 Cleveland Hts |
| State: | OH US |
| Postal Code: | 441181566 |
| Phone Number: | 2163826501 |
| Fax Number: | 4403826502 |
| NPI Enumeration Date: | 03/14/2011 |
| NPI Last Update Date: | 05/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP1101X |
| License Number: | 36003437 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Primary Podiatric Medicine |
| Taxonomy Definition: | |