NPI 1699432286 · live from the CMS NPI Registry
Allen Primary Podiatry
Podiatrist, Foot & Ankle Surgery in Dearborn, MI. National Provider Identifier 1699432286, active.
NPI record
| NPI | 1699432286 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 12940 W Warren Ave, Dearborn, MI 48126 |
| Practice phone | 734-895-4530 |
| Mailing address | 1813 N Rosevere Ave, Dearborn, MI 48128 |
| Enumerated | November 18, 2021 |
| Last updated | October 20, 2026 |
| Authorized official | Alex Bouhachem, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.