National Provider Identifier Database

RUSSL ALTABTABAEE, DPM – NPI #1528633096
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

RUSSL ALTABTABAEE, DPM
55 LAKE AVE N
WORCESTER, MA01655-0002
Phone: 508-334-5500
Fax: 508-334-3408
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X
Surgery, Foot 213ES0131X

* Indicates primary specialty

NPI Profile & details for RUSSL ALTABTABAEE

NPI Number 1528633096
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/26/2021
Last updated 09/05/2024 - More than a year ago
Sole proprietor1 No
Identifiers
  • MA License #: PDF2560
  • OH License #: 59.000894
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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