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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MANJULA WARAD SHIVPUTRA, DPM

Active

DR. MANJULA WARAD SHIVPUTRA, DPM is a Foot Surgery Podiatrist healthcare provider located in RIDGEWOOD, New York. NPI 1053660258 is currently active in the NPPES registry. Verify at CMS.

Foot Surgery Podiatrist · RIDGEWOOD, NY

Registration Details

NPI Number
1053660258
Provider Type
Individual
Gender
Female
NPI Issued
Sep 4, 2012 (13.904722836542 yrs)
Last Updated
Sep 30, 2013
License
NYS PERMIT P80993 (NY)

Practice Information

Address
17-31 60TH LANE
APT #311
RIDGEWOOD, NY, 11385
Browse NY providers · Browse ZIP 11385
Phone
3473987787
Primary Specialty
Foot Surgery Podiatrist
213ES0131X

Other Foot Surgery Podiatrist Providers in RIDGEWOOD, NY

Name Credential NPI
DR. KAREN MARIE AGLIETTI DPM 1376541672
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.