Healthcare Provider Details

I. General information

NPI: 1356879076
Provider Name (Legal Business Name): NIRA KADAKIA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2017
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3917 SPRING GROVE AVE
CINCINNATI OH
45223-3302
US

IV. Provider business mailing address

2927 LINWOOD AVE APT D
CINCINNATI OH
45208-2840
US

V. Phone/Fax

Practice location:
  • Phone: 513-357-7600
  • Fax:
Mailing address:
  • Phone: 614-506-7594
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: