NPI 1144377821

Eastside Podiatry PLLC

Organisation Foot & Ankle Surgery Podiatrist Saint Clair Shores, MI

Practice location

Address: 24025 Greater Mack Suite 101, Saint Clair Shores, MI 48080
Phone: (313) 884-7566
Fax: (313) 884-3140
Mailing address: 24025 Greater Mack Suite 101, St. Clair Shores, MI 48080-4311

Authorised official

Name: Hatim Tahir Burhani
Title: Owner
Phone: (313) 884-7566

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 5901002021 (MI)

Other Podiatrist providers in Michigan →

Registry record

NPI: 1144377821
Entity type: Organization
NPI issued: 4 Jan 2007
Record last updated: 22 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.