NPI 1003341520 · live from the CMS NPI Registry
Balanced Podiatry Care
Podiatrist in Warren, MI. National Provider Identifier 1003341520, active.
NPI record
| NPI | 1003341520 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 30205 Schoenherr Rd Ste A, Warren, MI 48088 |
| Practice phone | 586-751-1288 |
| Mailing address | 4540 Old Oak Ct, Plymouth, MI 48170 |
| Enumerated | April 21, 2017 |
| Last updated | March 8, 2022 |
| Authorized official | Rami Al-Rashed, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | — |
| 213ES0131X | — | |
| Podiatrist primary | 213E00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.