Provider Demographics
NPI:1912442435
Name:PROPEL FOOT AND ANKLE INSTITUTE
Entity type:Organization
Organization Name:PROPEL FOOT AND ANKLE INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:AJITHA
Authorized Official - Middle Name:KARUNAKARAN
Authorized Official - Last Name:NAIR
Authorized Official - Suffix:
Authorized Official - Credentials:DPM, MPH
Authorized Official - Phone:415-351-9889
Mailing Address - Street 1:2961 SUMMIT ST STE B
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-3482
Mailing Address - Country:US
Mailing Address - Phone:510-775-2431
Mailing Address - Fax:415-367-1286
Practice Address - Street 1:2961 SUMMIT ST STE B
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-3482
Practice Address - Country:US
Practice Address - Phone:510-775-2431
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-20
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE5074213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty