DE LA SOLE PODIATRIC MEDICAL SERVICES LLC
NPI 1386036234
Podiatrist - Foot & Ankle Surgery in Upper Marlboro, MD
- Organization
- Podiatrist
- Foot & Ankle Surgery
About DE LA SOLE PODIATRIC MEDICAL SERVICES LLC
This page provides the complete NPI Profile along with additional information for De La Sole Podiatric Medical Services Llc, a provider established in Upper Marlboro, Maryland operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1386036234 assigned on March 2015. The practitioner's primary taxonomy code is 213ES0103X with license number 01544 (MD). The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Kiana Rene Trent Dpm (Owner)
- NPI
- 1386036234 Verify this NPI
- Provider Name
- DE LA SOLE PODIATRIC MEDICAL SERVICES LLC
- Entity Type
- Organization
- Location Address
- 10507 OBSERVATORY PL UPPER MARLBORO, MD 20772
- Location Phone
- (404) 606-7449
- Mailing Address
- 10507 OBSERVATORY PL UPPER MARLBORO, MD 20772
- Mailing Phone
- (404) 606-7449
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-02-2015
- Last Update Date
- 01-23-2019
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Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Podiatrist Foot & Ankle Surgery
- Taxonomy Code
- 213ES0103X
- Type
- Podiatric Medicine & Surgery Service Providers
- License No.
- 01544
- License State
- MD
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386036234, enumerated as an "organization" on March 02, 2015.
The provider is located at 10507 OBSERVATORY PL UPPER MARLBORO, MD 20772 and the phone number is (404) 606-7449.
Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.