Provider Demographics
NPI:1861037418
Name:LEANDER FOOT & ANKLE PLLC
Entity type:Organization
Organization Name:LEANDER FOOT & ANKLE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AFSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAIMAT-SHAHZAD
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:561-271-8838
Mailing Address - Street 1:1820 CRYSTAL FALLS PKWY STE 320
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-3517
Mailing Address - Country:US
Mailing Address - Phone:512-634-7419
Mailing Address - Fax:512-717-9071
Practice Address - Street 1:1820 CRYSTAL FALLS PKWY STE 320
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-3517
Practice Address - Country:US
Practice Address - Phone:512-634-7419
Practice Address - Fax:512-717-9071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-07
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty