Phong Ta
Phong Ta practises Podiatry in Phoenix, Arizona. Qualified in 2021, 5 years ago. Practices with Desert Mobile Foot Care LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Arizona.
- Years since qualifying
- 5
- Licensed in
- AZ
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
Phoenix, AZNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Podiatrist (primary) | Taxonomy 213E00000X · Licence POD-001122. (AZ) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1083298509 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 11, 2021 |
| Last updated in NPPES | August 6, 2024 |
| Certification date | August 6, 2024 |
Medicare enrollment
| Medicare specialty | PODIATRY |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Desert Mobile Foot Care Llc — 5 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Procedures
| Removal of nail tissue | 710 times |
|---|---|
| Removal or shaving of skin growth | 81 times |
| Removal of tissue | 1–10 times |
Medicare patients and services, 2024
| Medicare patients | 159 |
|---|---|
| Services billed | 461 |
| Average patient age | 82 |
Colleagues at Desert Mobile Foot Care LLC
- Saba Hajimollaali Kani, DPM Foot & Ankle Surgery Podiatrist · Prescott, AZ
- Nardeen Ayoub Shaker, MD, DPM Student in an Organized Health Care Education/Training Program · Phoenix, AZ
- Dr. Donald Siegel, DPM Podiatrist · Mesa, AZ
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