Organization
BAHRI PODIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANKUR BAHRI DPM (CEO)
(908) 755-9797
Entity
Organization
Contact information
Practice address
35-37 PROGRESS ST STE A3, EDISON, NJ 08820-1179
(973) 883-5284
Mailing address
35-37 PROGRESS ST STE A3, EDISON, NJ 08820-1179
(908) 755-9797
(908) 668-4845
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MD00342900
NJ PODIATRY LICENSE
NJ
01
—
N006951-1
NY PODIATRY LICENSE
NY
Enumeration date
09/03/2020
Last updated
06/02/2023
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