Unknown Individual – Podiatrist, NPI 1063471258
Podiatrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
209, Commerce Street, Lyles-Crouch, Eisenhower East, Alexandria, Virginia, 22314, United States
SUITE B
ALEXANDRIA, VA 22314
Phone: (703) 549-4409
Fax: (703) 997-2364
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 22314)
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