Provider Demographics
NPI:1285317404
Name:SYNERGYHEALTH FOOT & ANKLE ASSOCIATES, PLLC
Entity type:Organization
Organization Name:SYNERGYHEALTH FOOT & ANKLE ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:USHITA
Authorized Official - Middle Name:KHAGESHCHANDRA
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:804-837-4144
Mailing Address - Street 1:14349 JUSTICE RD
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-6841
Mailing Address - Country:US
Mailing Address - Phone:804-837-4144
Mailing Address - Fax:804-823-9335
Practice Address - Street 1:2610 GASKINS RD STE A
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23238-1403
Practice Address - Country:US
Practice Address - Phone:804-433-3233
Practice Address - Fax:804-823-9335
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SYNERGYHEALTH FOOT & ANKLE ASSOCIATES, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty