# BURAKOVSKIY DPM PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** INTEGRATIVE FOOT AND ANKLE CENTERS OF WASHINGTON, BURAKOVSKIY D P M PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881777266
- **Authorized official:** MR. MIKHAIL BURAKOVSKIY DPM (OWNER/PROVIDER)
- **Authorized official phone:** (425) 822-7426

## Contact information

- **Practice address:** 13030 121ST WAY NE STE 204, KIRKLAND, WA 98034-3008
- **Practice address phone:** (425) 822-7426
- **Practice address fax:** (425) 827-1717
- **Mailing address:** 13030 121ST WAY NE, SUITE 204, KIRKLAND, WA 98034
- **Mailing address phone:** (425) 822-7426
- **Mailing address fax:** (425) 827-1717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | PO 00000808 | WA | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO00000808 | WA | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO60255094 | WA | — |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | — |

## Other

- **Enumeration date:** 10/23/2006
- **Last updated:** 07/07/2023
