| Lake Podiatry, Pc | |
|
10570 Blue Star M Hwy, South Haven, MI 49090-8923 | |
| (269) 978-3385 | |
| (269) 978-2711 |
| Full Name | Lake Podiatry, Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 10570 Blue Star M Hwy, South Haven, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063449346 | NPI | - | NPPES |
| 4952336 | Medicaid | MI | |
| DF2298 | Other | MI | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 5901002029 (Michigan) | Primary |
| Provider Name | Raziuddin Ahmed |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972506293 PECOS PAC ID: 9234022559 Enrollment ID: I20050512000901 |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Podiatry, Pc 10570 Blue Star M Hwy, South Haven, MI 49090-8923 Ph: (269) 978-3385 | Lake Podiatry, Pc 10570 Blue Star M Hwy, South Haven, MI 49090-8923 Ph: (269) 978-3385 |
Southwest Family Footcare Specialist, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 10570 Blue Star M Hwy, South Haven, MI 49090 Phone: 269-639-1115 Fax: 269-639-2525 | |
Holland Foot And Ankle Center, Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 930 Blue Star Hwy, South Haven, MI 49090 Phone: 616-392-7472 Fax: 616-392-3327 | |
Dr. Regina Lynne Spears, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 10570 Blue Star M Hwy, South Haven, MI 49090 Phone: 269-639-1115 Fax: 269-639-2525 | |
Raziuddin Ahmed, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 10570 Blue Star M Hwy, South Haven, MI 49090 Phone: 269-978-3385 Fax: 269-978-2711 |