Provider Demographics
NPI:1801483045
Name:PRIME FOOT AND ANKLE SPECIALISTS PLLC
Entity type:Organization
Organization Name:PRIME FOOT AND ANKLE SPECIALISTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AMYN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAKHANI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:404-200-6366
Mailing Address - Street 1:2812 ORCHID ST
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-5005
Mailing Address - Country:US
Mailing Address - Phone:404-200-6366
Mailing Address - Fax:
Practice Address - Street 1:1108 W PIONEER PKWY STE 200
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-7627
Practice Address - Country:US
Practice Address - Phone:817-704-4223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-22
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty