Healthcare Provider Details

I. General information

NPI: 1396734307
Provider Name (Legal Business Name): MANASVEE S KAPADIA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MANASVEE M JOSHIPURA

II. Dates (important events)

Enumeration Date: 10/21/2005
Last Update Date: 01/13/2021
Certification Date: 01/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2351 E 22ND ST
CLEVELAND OH
44115-3111
US

IV. Provider business mailing address

29160 CENTER RIDGE RD SUITE C
WESTLAKE OH
44145-5225
US

V. Phone/Fax

Practice location:
  • Phone: 216-363-2520
  • Fax: 216-363-2648
Mailing address:
  • Phone: 440-617-1823
  • Fax: 440-617-0884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number35-083757
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: