Organization
NOVA FOOT AND ANKLE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMI PARIKH IDICULLA DPM (PHYSICIAN)
(703) 437-5353
Entity
Organization
Contact information
Practice address
112 ELDEN ST, SUITE D, HERNDON, VA 20170-4874
(703) 437-5353
Mailing address
112 ELDEN ST STE D, HERNDON, VA 20170-4832
(703) 437-5353
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477790533
INDIVIDUAL NPI
—
01
—
7004550001
PTAN
—
Enumeration date
12/05/2012
Last updated
10/14/2025
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