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NPI Code Detail

MEDICARE: BHAVIKA B KAKADIA D.O

MEDICARE: BHAVIKA B KAKADIA D.O
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
12084V0102XVascular Neurology Physician25MB10756700NJ
22084N0400XNeurology Physician25MB10756700NJ

General Provider Information

NPI Number : 1871947267
Entity Type Code : Individual
Provider Name (Legal Business Name) : BHAVIKA B KAKADIA D.O
Provider Business Mailing Address
First Line : 355 BARD AVE
Second Line : DEPARTMENT OF MEDICINE VILLA BLDG 1ST FLOOR
City : STATEN ISLAND
State : NY
Zip : 10310-1664
Country : US
Telephone Number : 718-818-2419
Fax Number :
Provider Business Practice Location Address
First Line : 100 MADISON AVE
Second Line :
City : MORRISTOWN
State : NJ
Zip : 07960-6136
Country : US
Telephone Number : 973-971-5198
Fax Number : 908-522-6147
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2016
Last Update Date : 06/10/2026

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