Provider Demographics
NPI:1073177267
Name:AARTHI BAWA, DPM PLLC
Entity Type:Organization
Organization Name:AARTHI BAWA, DPM PLLC
Other - Org Name:ASSOCIATED FOOT CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AARTHI
Authorized Official - Middle Name:
Authorized Official - Last Name:BAWA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:810-233-5950
Mailing Address - Street 1:915 S DORT HWY
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48503-2800
Mailing Address - Country:US
Mailing Address - Phone:810-233-5950
Mailing Address - Fax:
Practice Address - Street 1:915 S DORT HWY
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48503-2800
Practice Address - Country:US
Practice Address - Phone:810-233-5950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-24
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Multi-Specialty
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty