IndividualActive
Michangelo Scruggs, DPM
NPI 1104033703 · Foot & Ankle Surgery Podiatrist · Washington, DC
Provider details
- NPI number
- 1104033703
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- License
- PO1000031 (DC)
Practice location
1328 Southern Ave Se
Suite 209
Washington, DC 20032-4689
Phone: (202) 506-1001
Fax: (202) 506-1008
Mailing address
4316 18th St Nw
Washington, DC 20011-4228
Registry dates
- Enumerated
- 2007-05-16
- Last updated
- 2010-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.