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Dr. Stanley Idiculla

Foot Surgery

112 Elden St Suite D
Herndon , Virginia 20170-4874

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Dr. Stanley Idiculla

Foot Surgery

112 Elden St Suite D
Herndon , Virginia 20170-4874

(703) 437-5353

Write a Review Save Call

Dr. Stanley Idiculla

Foot Surgery

112 Elden St Suite D
Herndon , Virginia 20170-4874

(703) 437-5353 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Foot Surgery

Languages spoken

  • English

Location

112 Elden St Suite D Herndon , Virginia 20170-4874

First Address

  • Dr. Stanley Idiculla
  • 112 Elden St Suite D
  • Herndon, VA
  • Zip : 20170-4874
  • Phone : (703) 437-5353

Second Address

  • Dr. Stanley Idiculla
  • 112 Elden St Suite D
  • Herndon, VA
  • Zip : 20170-4874
  • Phone : (703) 437-5353

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FAQs


Where did Dr. Stanley Idiculla attend graduate school?

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Where did Dr. Stanley Idiculla do his residency?

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Where did Dr. Stanley Idiculla do his fellowship?

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Is Dr. Stanley Idiculla board certified?

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What type of doctor is Dr. Stanley Idiculla

Foot Surgery

In what state does Dr. Stanley Idiculla practice in?

Virginia

Where is Dr. Stanley Idiculla ’s practice located?

112 Elden St Suite D , Herndon, Virginia, 20170-4874

What is Dr. Stanley Idiculla ’s gender?

Male

Is Dr. Stanley Idiculla a sole practitioner?

No

Is Dr. Stanley Idiculla accepting new patients?

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What languages does Dr. Stanley Idiculla speak?

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Does Dr. Stanley Idiculla accept insurance?

Yes, Dr. Stanley Idiculla accepts insurance

Does Dr. Stanley Idiculla offers telemedicine?

Dr. Stanley Idiculla has not indicated if he offers telemedicine

What is Dr. Stanley Idiculla ’s professional license number?

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What is Dr. Stanley Idiculla ’s NPI number?

1043274368

Does Dr. Stanley Idiculla have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 213ES0131X Foot Surgery XXXX VA

National Provider Identifier

NPI 1043274368
Provider Name Dr. Stanley Idiculla
First Address Herndon, VA 20170-4874
Second Address Herndon, VA 20170-4874
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 13/04/2006
Last Update Date 18/12/2013

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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