OrganizationActive
Monticello Podiatry LLC
NPI 1780048108 · Primary Podiatric Medicine Podiatrist · Monticello, IN
Provider details
- NPI number
- 1780048108
- Entity type
- Organization
- Primary specialty
- Primary Podiatric Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Parent organization
- Monticello Podiatry LLC
- Organization subpart
- Yes
- Authorized official
- Murtuza Peerbhai, President(765) 430-6963
- License
- 07001110A (IN)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
101 W Broadway St
Monticello, IN 47960-2110
Phone: (844) 687-3338
Fax: (844) 687-3338
Approximate (ZIP-level) locationGet directions
Mailing address
101 W Broadway St
Monticello, IN 47960-2110
Other names (DBA / former)
- Other name
- Logansport Podiatry
Registry dates
- Enumerated
- 2016-04-12
- Last updated
- 2016-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.