Provider Demographics
NPI:1720899743
Name:INSTITUTE FOR ADVANCED FOOT, ANKLE & NERVE CARE, PLLC
Entity type:Organization
Organization Name:INSTITUTE FOR ADVANCED FOOT, ANKLE & NERVE CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARSHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:773-301-3893
Mailing Address - Street 1:4202 MAPLE RAPIDS LN
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-3406
Mailing Address - Country:US
Mailing Address - Phone:773-301-3893
Mailing Address - Fax:
Practice Address - Street 1:2410 LUNA RD STE 248
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-6578
Practice Address - Country:US
Practice Address - Phone:773-301-3893
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty