Provider Demographics
NPI:1669855334
Name:ANP FOOT & ANKLE CLINICS, LLC
Entity Type:Organization
Organization Name:ANP FOOT & ANKLE CLINICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NAVIN
Authorized Official - Middle Name:K
Authorized Official - Last Name:GUPTA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:515-961-7114
Mailing Address - Street 1:208 S C ST
Mailing Address - Street 2:
Mailing Address - City:INDIANOLA
Mailing Address - State:IA
Mailing Address - Zip Code:50125-2454
Mailing Address - Country:US
Mailing Address - Phone:515-961-7114
Mailing Address - Fax:515-961-9855
Practice Address - Street 1:208 S C ST
Practice Address - Street 2:
Practice Address - City:INDIANOLA
Practice Address - State:IA
Practice Address - Zip Code:50125-2454
Practice Address - Country:US
Practice Address - Phone:515-961-7114
Practice Address - Fax:515-961-9855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-30
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00508332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies