Organization
WOODINVILLE FOOT AND ANKLE CLINIC, PLLC
Active
Other names
Lake Washington Foot and Ankle Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINAI PRAKASH DPM (OWNER)
(425) 892-8054
Entity
Organization
Contact information
Practice address
6610 NE 181ST ST STE 4, KENMORE, WA 98028-4867
(425) 892-8054
(425) 419-4379
Mailing address
6610 NE 181ST ST STE 4, KENMORE, WA 98028-4867
(425) 892-8054
(425) 419-4379
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2117824
—
WA
Enumeration date
02/27/2019
Last updated
02/27/2019
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