Provider Demographics
NPI:1578218087
Name:NEW HORIZONS FOOT AND ANKLE ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:NEW HORIZONS FOOT AND ANKLE ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CHIRAG
Authorized Official - Middle Name:MUKESH
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:502-808-3668
Mailing Address - Street 1:1169 EASTERN PKWY STE 3440
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40217-1421
Mailing Address - Country:US
Mailing Address - Phone:502-808-3668
Mailing Address - Fax:502-289-9970
Practice Address - Street 1:1169 EASTERN PKWY STE 3440
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40217-1421
Practice Address - Country:US
Practice Address - Phone:432-978-5929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-14
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1376033597OtherNPI
KY7100821270Medicaid
KY1316409519OtherNPI
KY267218OtherLICENSE