# SHENOUDA CORP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Michael Mitry, DPM
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386036275
- **Authorized official:** MICHAEL MITRY DPM (PODIATRIST)
- **Authorized official phone:** (508) 361-0078

## Contact information

- **Practice address:** 1410 HIGHLAND AVE STE 204, NEEDHAM, MA 02492
- **Practice address phone:** (781) 444-4044
- **Practice address fax:** (781) 444-5044
- **Mailing address:** 1410 HIGHLAND AVE STE 204, NEEDHAM, MA 02492-2617
- **Mailing address phone:** (781) 444-4044
- **Mailing address fax:** (781) 444-5044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 03/02/2015
- **Last updated:** 11/27/2018