# EINSTEIN PODIATRY ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699495259
- **Authorized official:** MOHAMMAD MALIK DPM (PARTNER)
- **Authorized official phone:** (215) 927-2837

## Contact information

- **Practice address:** 1335 W TABOR RD STE 206, PHILADELPHIA, PA 19141-3040
- **Practice address phone:** (215) 927-2837
- **Practice address fax:** (215) 927-2008
- **Mailing address:** 1335 W TABOR RD STE 206, PHILADELPHIA, PA 19141-3040
- **Mailing address phone:** (215) 927-2837
- **Mailing address fax:** (215) 927-2008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | — | NULL | — |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | — | — | — |
| 213ES0000X | Sports Medicine Podiatrist | — | NULL | — |
| 213ES0000X | Sports Medicine Podiatrist | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 213ES0131X | Foot Surgery Podiatrist | — | NULL | — |
| 213ES0131X | Foot Surgery Podiatrist | — | — | — |

## Other

- **Enumeration date:** 09/01/2022
- **Last updated:** 02/06/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1346604345 | — | PA |
| 05 | — | 1841600053 | — | PA |