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Organization
NOVA FOOT AND ANKLE PLLC
Active
Organization
NOVA FOOT AND ANKLE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMI PARIKH IDICULLA DPM (PHYSICIAN)
(703) 437-5353
Entity
Organization
Contact information
Practice address
112 ELDEN ST, SUITE D, HERNDON, VA 20170-4874
(703) 437-5353
Mailing address
112 ELDEN ST STE D, HERNDON, VA 20170-4832
(703) 437-5353
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477790533
INDIVIDUAL NPI
—
01
—
7004550001
PTAN
—
Enumeration date
12/05/2012
Last updated
10/14/2025
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