Shafiq Prasla
Podiatrist (foot and ankle surgery) in Kingwood, TX
Registered providerLicense # listed (TX)TX license current (TDLR)Medicare-enrolledAccepts Medicare assignmentTelehealth (Medicare)
Public-record details
- Address
- 1414 Green Oak Terrace CT Ste 100, Kingwood, TX 77339
- Phone
- (281) 358-9889
- Listed under
- Individual podiatrists, Foot and ankle surgery (registered), Telehealth (Medicare claims)
- NPI
- 1558892661
- NPI status
- Active in the NPPES registry
- Provider type
- Individual provider
- Registered specialty (self-reported taxonomy)
- Podiatrist, Foot & Ankle Surgery (213ES0103X)
- License number on NPI record
- 3033 (TX)
- NPI first issued
- Mar 21, 2017
- Years since NPI first issued
- 9 years (since 2017)
- License state on NPI record
- TX
- NPI record last updated
- Jun 21, 2020
- Texas license status (TDLR)
- Current, expires Jun 11, 2028
- Texas license first issued (TDLR)
- Jun 11, 2020
- Medicare enrollment (CMS)
- Enrolled: listed in CMS Doctors & Clinicians
- Medicare assignment (CMS)
- Accepts the Medicare-approved amount as payment in full
- Telehealth (CMS)
- Medicare claims show telehealth services
- Professional school graduation (CMS)
- 2017 (9 years ago)
- Medicare group practice (CMS)
- Epic Foot and Ankle Centers PLLC (2 clinicians)
- Practice locations on file with Medicare (CMS)
- 1
- Other practice locations (NPPES)
- 1: Oakland, CA
- Other podiatry listings at this street address
- 1
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