Provider Demographics
NPI:1396890968
Name:LADHA, ZAHID AMIRALI (DPM,FACFAS)
Entity type:Individual
Prefix:DR
First Name:ZAHID
Middle Name:AMIRALI
Last Name:LADHA
Suffix:
Gender:M
Credentials:DPM,FACFAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3605 NORTHGATE CT
Mailing Address - Street 2:SUITE 206
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-6400
Mailing Address - Country:US
Mailing Address - Phone:812-945-9221
Mailing Address - Fax:812-945-7141
Practice Address - Street 1:3605 NORTHGATE CT
Practice Address - Street 2:SUITE 206
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-6400
Practice Address - Country:US
Practice Address - Phone:812-945-9221
Practice Address - Fax:812-945-7141
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN07000878213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000042802OtherANTHEM PROVIDER NUMBER
IL5619947OtherBC BC OF IL
IN5597719OtherAETNA PROVIDER NUMBER
IN480028913OtherRAILROAD MEDICARE NUMBER
IN5597719OtherAETNA PROVIDER NUMBER
IN5597719OtherAETNA PROVIDER NUMBER
INU74224Medicare UPIN