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Salt Lake Foot and Ankle PLLC

NPI 1063807485ActiveOrganization· Podiatrist· Salt Lake City, UT

Podiatrist in Salt Lake City, Utah, registered in NPPES in April 2015. The authorized official on file is Bijan J. Andrade, DPM, Manager.

Overview

NPI1063807485
StatusActive
Entity typeOrganization
NPI issuedApr 2, 2015
Last updated in NPPESApr 2, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Podiatrist Primary213E00000X345724-0501UT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Podiatrist providers in Salt Lake City

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