Provider Demographics
NPI:1225074206
Name:APRAJITA NAKRA DPM PC
Entity Type:Organization
Organization Name:APRAJITA NAKRA DPM PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:APRAJITA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAKRA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:480-962-4281
Mailing Address - Street 1:2915 E BASELINE RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-2425
Mailing Address - Country:US
Mailing Address - Phone:480-962-4281
Mailing Address - Fax:
Practice Address - Street 1:2915 E BASELINE RD
Practice Address - Street 2:SUITE 103
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-2425
Practice Address - Country:US
Practice Address - Phone:480-962-4281
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ83532Medicare ID - Type UnspecifiedGROUP MEDICARE NUMBER
5238810001Medicare NSC