Individual provider · Type 1 NPI
Manjula Warad Shivputra, DPM
Foot Surgery Podiatrist · Ridgewood, NY
NPI number
1053660258
Active
Practice location
17-31 60th Lane, Apt #311
Ridgewood, NY 11385
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist Primary | 213ES0131X | NYS PERMIT P80993 (NY) |
Foot Surgery Podiatrist: Definition to come...
Other foot surgery podiatrist providers in Ridgewood
About NPI 1053660258
Manjula Warad Shivputra, DPM's National Provider Identifier is 1053660258, issued on Sep 4, 2012. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Ridgewood, NY. The record was last updated on Sep 30, 2013.