NPI 1285823401 · live from the CMS NPI Registry
Sara Bouraee, DPM
Podiatrist, Foot & Ankle Surgery in Hampton, VA. National Provider Identifier 1285823401, active.
NPI record
| NPI | 1285823401 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 3000 Coliseum Dr, Suite 205, Hampton, VA 23666 |
| Practice phone | 757-224-7605 |
| Mailing address | 1155 Professional Dr, Williamsburg, VA 23185 |
| Enumerated | October 24, 2007 |
| Last updated | November 5, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | SC005847 (PA) |
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 0103301022 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.