Provider Demographics
NPI:1134374689
Name:ANP FOOT AND ANKLE CLINIC
Entity type:Organization
Organization Name:ANP FOOT AND ANKLE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NAVIN
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:GUPTA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:515-240-7973
Mailing Address - Street 1:5503 BALCONES DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4907
Mailing Address - Country:US
Mailing Address - Phone:512-945-2851
Mailing Address - Fax:512-419-1966
Practice Address - Street 1:5503 BALCONES DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-4907
Practice Address - Country:US
Practice Address - Phone:512-945-2851
Practice Address - Fax:512-419-1966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-25
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies