Monticello Podiatry LLC
NPI #1508510447 in West Lafayette, Indiana
Provider Information
- NPI Number
- 1508510447
- Entity Type
- Organization
- Organization Name
- Monticello Podiatry LLC
- Primary Specialty
- Podiatrist - Primary Podiatric Medicine
- Enumeration Date
- Feb 9, 2022
- Last Updated
- Feb 9, 2022
Practice Location
- Address
- 1281 WIN HENTSCHEL BLVD STE 1579
- City
- West Lafayette
- State
- Indiana
- ZIP Code
- 47906-4357
- Phone
- (765) 430-6963
Authorized Official
- Name
- MURTUZA A. PEERBHAI, DPM
- Title
- SOLE MEMBER
- Phone
- (765) 430-6963
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist - Primary Podiatric Medicine — Primary Podiatric Medicine |
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