Basic Information
Provider Information
NPI: 1376565259
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LUHADIYA
FirstName: AMIT
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: D.P.M
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2101 E JEFFERSON ST
Address2: KAISER PERMANENTE MEDICARE ENROLLMENT
City: ROCKVILLE
State: MD
PostalCode: 208524908
CountryCode: US
TelephoneNumber: 3018162424
FaxNumber:  
Practice Location
Address1: 700 2ND ST NE
Address2: KAISER PERMANENTE CAPITOL HILL MEDICAL CENTER
City: WASHINGTON
State: DC
PostalCode: 200028100
CountryCode: US
TelephoneNumber: 2023463000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/23/2006
LastUpdateDate: 05/27/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/27/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
213ES0000XE4788CAN Podiatric Medicine & Surgery Service ProvidersPodiatristSports Medicine
213ES0103X01477MDN Podiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
213ES0131X25MD00288000NJN Podiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
213ES0103XPO1000070DCY Podiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery

No ID Information.


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