Provider Demographics
NPI:1003341520
Name:BALANCED PODIATRY CARE
Entity Type:Organization
Organization Name:BALANCED PODIATRY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:AL-RASHED
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:734-474-4324
Mailing Address - Street 1:4540 OLD OAK CT
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-6441
Mailing Address - Country:US
Mailing Address - Phone:586-751-1288
Mailing Address - Fax:586-299-2001
Practice Address - Street 1:30205 SCHOENHERR RD STE A
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48088-6800
Practice Address - Country:US
Practice Address - Phone:586-751-1288
Practice Address - Fax:586-299-2001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-21
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Multi-Specialty