Organization
ELITE PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXSEY KHEYNSON DPM (OWNER PRESIDENT)
(248) 996-1020
Entity
Organization
Contact information
Practice address
32910 W 13 MILE RD, SUITE C300, FARMINGTON HILLS, MI 48334-1980
(248) 996-1020
(248) 996-1023
Mailing address
32910 W 13 MILE RD, SUITE C300, FARMINGTON HILLS, MI 48334-1980
(248) 996-1020
(248) 996-1023
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025519
MIDWEST ADV
MI
01
—
025521
MIDWEST DALEY
MI
01
—
1134212889
NPI
MI
01
—
1134235088
NPI FERNANDO
MI
01
—
144640
PREFERRED CHOICE PPO
MI
01
—
1487771473
NPI
MI
01
—
1497804306
NPI
MI
01
—
1598984189
NPI FOR DALEY
MI
05
—
1598984189
—
MI
01
—
1760614390
NPI
MI
05
—
1770773905
—
MI
01
—
1952373201
NPI FOR ALEX
MI
01
—
480F367590
BC GROUP
MI
01
—
480H229190
BC GROUP
MI
01
—
4856314380
ALEXSEY KHEYNSON BC
MI
01
—
4856316840
BC FOR DALEY
MI
01
—
4858214620
FERNANDO QUIRINDONGO BC
MI
05
—
4935003
—
MI
05
—
4935012
—
MI
01
—
DG0290
MT
MI
01
—
V02502
HAP
MI
01
—
V09910
HAP FERN
MI
Enumeration date
08/22/2006
Last updated
05/04/2012
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