Provider Demographics
NPI:1871860106
Name:LADHA PSC
Entity Type:Organization
Organization Name:LADHA PSC
Other - Org Name:FOOT FIRST PODIATRY NA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TRESSEA
Authorized Official - Middle Name:R
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-945-9221
Mailing Address - Street 1:3605 NORTHGATE CT
Mailing Address - Street 2:SUITE 206
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-6400
Mailing Address - Country:US
Mailing Address - Phone:812-945-9221
Mailing Address - Fax:812-945-7141
Practice Address - Street 1:3605 NORTHGATE CT
Practice Address - Street 2:SUITE 206
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-6400
Practice Address - Country:US
Practice Address - Phone:812-945-9221
Practice Address - Fax:812-945-7141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-01
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty