| Organization Name: | MARYLAND FOOT & ANKLE RESTORATION, LLC |
| NPI Number: | 1366709784 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHNY JAMAL MOTRAN (MANAGER/DOCTOR) |
| Mailing Address: | 8903 Shady Grove Ct Gaithersburg |
| State: | MD US |
| Postal Code: | 208771308 |
| Phone Number: | 3015193668 |
| Fax Number: | 3015197461 |
| NPI Enumeration Date: | 04/23/2012 |
| NPI Last Update Date: | 04/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 01450 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |