Provider Demographics
NPI:1730731431
Name:SUBH FOOT & ANKLE LLC
Entity type:Organization
Organization Name:SUBH FOOT & ANKLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUNITI
Authorized Official - Middle Name:DILIPBHAI
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-317-6117
Mailing Address - Street 1:4417 GROVE PARK DR
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-4571
Mailing Address - Country:US
Mailing Address - Phone:832-317-6117
Mailing Address - Fax:832-772-7201
Practice Address - Street 1:560 BLOSSOM ST
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4236
Practice Address - Country:US
Practice Address - Phone:832-317-6117
Practice Address - Fax:832-772-7201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-12
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty