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NPI Code Detail

MEDICARE: KETAN A KAPADIA M.D.

MEDICARE:   KETAN A KAPADIA  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology PhysicianME79719FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043274152
Entity Type Code : Individual
Provider Name (Legal Business Name) : KETAN A KAPADIA M.D.
Provider Business Mailing Address
First Line : 12109 COUNTY ROAD 103
Second Line :
City : OXFORD
State : FL
Zip : 34484-2951
Country : US
Telephone Number : 352-205-8981
Fax Number : 352-391-6498
Provider Business Practice Location Address
First Line : 5747 38TH AVE N
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33710-1925
Country : US
Telephone Number : 727-381-8667
Fax Number : 727-345-1951
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2006
Last Update Date : 01/20/2021

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Directions to “ KETAN A KAPADIA M.D.” Practice Location

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