Provider Demographics
NPI:1487799029
Name:ASSOCIATED PODIATRISTS, INC
Entity type:Organization
Organization Name:ASSOCIATED PODIATRISTS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NEERAJ
Authorized Official - Middle Name:DINESH
Authorized Official - Last Name:NARANG
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:804-869-4666
Mailing Address - Street 1:10801 TUTELO COURT
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059
Mailing Address - Country:US
Mailing Address - Phone:804-794-4550
Mailing Address - Fax:804-794-7648
Practice Address - Street 1:13510 MIDLOTHIAN TURNPIKE
Practice Address - Street 2:SUITE B
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113
Practice Address - Country:US
Practice Address - Phone:804-794-4550
Practice Address - Fax:804-794-7648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0103000190213ES0103X
213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA93-0019-8Medicaid
VA009300198Medicaid
VA480949271Medicare ID - Type Unspecified
VAU24010Medicare UPIN
VAC01134Medicare PIN
VA009300198Medicaid