Dr Latasha Walters Koszewnik, DPM | |
610 Encino Dr, Morgan Hill, CA 95037-5704 | |
(619) 920-8425 | |
Not Available |
Full Name | Dr Latasha Walters Koszewnik |
---|---|
Gender | Female |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 610 Encino Dr, Morgan Hill, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417103961 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 5901002304 (Michigan) | Secondary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | E5003 (California) | Primary |
Provider Name | Bay Area Foot And Ankle Centers Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205204229 PECOS PAC ID: 0941509491 Enrollment ID: O20160504001855 |
Mailing Address | Practice Location Address |
---|---|
Dr Latasha Walters Koszewnik, DPM 610 Encino Dr., Morgan Hill, CA 95037 Ph: (619) 920-8425 | Dr Latasha Walters Koszewnik, DPM 610 Encino Dr, Morgan Hill, CA 95037-5704 Ph: (619) 920-8425 |
Bay Area Foot And Ankle Centers Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 16275 Monterey Rd Ste E, Morgan Hill, CA 95037 Phone: 408-612-4752 Fax: 408-612-8171 | |
Dr. Sara Karamloo, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 16275 Monterey Rd Ste E, Morgan Hill, CA 95037 Phone: 408-612-4752 Fax: 408-612-8171 |