| Nova Foot And Ankle | |
|
112 Elden St, Suite D, Herndon, VA 20170-4874 | |
| (703) 437-5353 | |
| Not Available |
| Full Name | Nova Foot And Ankle |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 112 Elden St, Herndon, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770828527 | NPI | - | NPPES |
| 7004550001 | Other | PTAN | |
| 1477790533 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Stanley Idiculla |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1043274368 PECOS PAC ID: 0042306391 Enrollment ID: I20090224000705 |
| Provider Name | Tiomara Paylor |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629348909 PECOS PAC ID: 2365604899 Enrollment ID: I20120507000369 |
| Provider Name | Ami Parikh |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477790533 PECOS PAC ID: 9032383658 Enrollment ID: I20130607000437 |
| Provider Name | Kevin T Diep |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1720667710 PECOS PAC ID: 6608312491 Enrollment ID: I20240729003639 |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Foot And Ankle 112 Elden St, Suite D, Herndon, VA 20170-4874 Ph: (703) 437-5353 | Nova Foot And Ankle 112 Elden St, Suite D, Herndon, VA 20170-4874 Ph: (703) 437-5353 |
Robert B. Bronfman Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 112 Elden Street, Suite D, Herndon, VA 20170 Phone: 703-437-5353 Fax: 703-437-6941 | |
Dr. Stanley Idiculla, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 112 Elden St, Suite D, Herndon, VA 20170 Phone: 703-437-5353 | |
Dr. Ami Parikh, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 112 Elden St, Suite D, Herndon, VA 20170 Phone: 703-437-5353 | |
Kevin Diep, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 112 Elden St Ste D, Herndon, VA 20170 Phone: 703-466-0802 Fax: 703-437-6941 |