Organization
MONTICELLO PODIATRY LLC
Active
Other names
west lafayette podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
MURTUZA A. PEERBHAI DPM (SOLE MEMBER)
(765) 430-6963
Entity
Organization
Contact information
Practice address
1281 WIN HENTSCHEL BLVD STE 1579, WEST LAFAYETTE, IN 47906-4357
(765) 430-6963
Mailing address
1281 WIN HENTSCHEL BLVD STE 1579, WEST LAFAYETTE, IN 47906-4357
(765) 430-6963
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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