Organization Name: | BAY AREA FOOT AND ANKLE CENTERS INC |
NPI Number: | 1205204229 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SARA KARAMLOO (DPM) |
Mailing Address: | 16360 Monterey Rd Suite 270 Morgan Hill |
State: | CA US |
Postal Code: | 950375453 |
Phone Number: | 4086124752 |
Fax Number: | 4086128171 |
NPI Enumeration Date: | 09/08/2015 |
NPI Last Update Date: | 03/24/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | E4989 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |