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Dr. Manjula Warad Shivputra, DPM
Foot Surgery Podiatrist in Ridgewood, New York
NPI 1053660258

Manjula Warad Shivputra is a Foot Surgery Podiatrist based in Ridgewood, NY and is specialized in Foot Surgery. Manjula Warad Shivputra practices in Ridgewood, NY and has the professional credentials of DPM. The NPI Number for Manjula Warad Shivputra is 1053660258 and holds a License No. NYS PERMIT P80993 (New York).

The current practice location address for Manjula Warad Shivputra is 17-31 60Th Lane, Ridgewood, NY and can be reached out via phone at 347-398-7787.

Location: 17-31 60Th Lane, Ridgewood, NY, 11385
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053660258
Provider Name
Manjula Warad Shivputra
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
17-31 60Th Lane, Ridgewood, NY, 11385
Phone Number
347-398-7787
Fax Number
Provider Enumeration Date
09/04/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17-31 60Th Lane
City
Ridgewood
State
New York
Zip
11385
Phone Number
347-398-7787
Fax Number
person
Provider Business Mailing Address Details
Address
17-31 60Th Lane
City
Ridgewood
State
New York
Zip
11385
Phone Number
347-398-7787
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
213ES0131X
License No.
NYS PERMIT P80993 (New York)
Definition
Definition to come...
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