Dr. Stanley Idiculla, DPM
Dr. Stanley Idiculla, DPM is a Podiatry in Herndon, Virginia. Graduated from New York College of Podiatric Medicine in 2004, 22 years ago. Practices with Nova Foot and Ankle PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Virginia.
- Years since qualifying
- 22
- Trained at
- New York College of Podiatric Medicine
- Licensed in
- VA
- In the registry since
- 2006
What do these letters mean?
- DPM — Doctor of Podiatric Medicine
- A foot and ankle physician and surgeon.
Practice location Address checks out
112 Elden St Ste DHerndon, VA 20170-4874
Phone: (703) 437-5353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Foot Surgery Podiatrist (primary) | Taxonomy 213ES0131X · Licence XXXX (VA) |
|---|
Record details
| NPI number | 1043274368 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DPM |
| Sole proprietor | No |
| NPI enumerated | April 13, 2006 |
| Last updated in NPPES | December 18, 2013 |
| Mailing address | 112 Elden St, Suite D, Herndon, VA 20170-4874 |
Medicare enrollment
| Medicare specialty | PODIATRY |
|---|---|
| Medical school | NEW YORK COLLEGE OF PODIATRIC MEDICINE |
| Graduated | 2004 (22 years in practice) |
| Group practice | Nova Foot And Ankle Pllc — 3 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |