DR. Manjula Warad Shivputra, DPM

NPI #1053660258 in Ridgewood, New York

Provider Information

NPI Number: 1053660258
Entity Type: Individual
Name: DR. Manjula Warad Shivputra, DPM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Podiatrist - Foot Surgery
Credential: DPM
Enumeration Date: Sep 4, 2012
Last Updated: Sep 30, 2013

Practice Location

Address: 17-31 60TH LANE
Address 2: APT #311
City: Ridgewood
State: New York
ZIP Code: 11385
Phone: (347) 398-7787

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist - Foot Surgery — Foot Surgery	213ES0131X	Primary

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