Ankle & Foot Clinic PC
Organization Active NPI Foot & Ankle Surgery Podiatrist · Eastpointe, MI
NPI 1770511784 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1770511784
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- 5901001883 (MI)
- Legal business name
- ANKLE & FOOT CLINIC PC
- Practice address
- 23700 Gratiot Ave
Eastpointe, MI 48021-1647 - Phone
- (586) 779-1160
- Fax
- (586) 779-1163
- NPI assigned
- Jun 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Syed M Ghani, DPM
- Title
- President
- Phone
- (586) 779-1160
Practitioners 2
-
Syed M Ghani, DPM
-
Nemr M. Faraj, D.P.M.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041026001129 | MI | Part B Supplier - Clinic/Group Practice | 3375504954 |
Receives reassigned benefits from 1 practitioner Practice locations: Eastpointe, MI |
| O20100930047411 | MI | DME Supplier - Physician - Podiatry | 3375504954 | Practice locations: Eastpointe, MI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist |
213ES0103X | 5901001883 | MI | Yes |
Addresses
Primary practice location
23700 Gratiot Ave
Eastpointe, MI 48021-1647
Mailing address
23700 Gratiot Ave
Eastpointe, MI 48021-1647
Phone (586) 779-1160
Other names
- NONE
Other providers in Eastpointe, MI
- Alaa Anbari
- Shannon Lynn Anderson-Charbonneau
- Latrice Anderson
- Aneeta R Khanna PLLC
- Angelic Touch Services LLC
- Annie Bell Chambers Home Help Care LLC
- Annie Bell Chambers Multi Service Center
- Sharalynn Cathleen Apice
- Annette L Aquino
- Demetria Archie
All providers in Eastpointe, MI · Foot & Ankle Surgery Podiatrist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.