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NPI Code Detail

MEDICARE: DR. MEHBUB S KAPADIA M.D.

MEDICARE: DR. MEHBUB S 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
1207RI0001XClinical & Laboratory Immunology (Internal Medicine) Physician336035459IL
22083P0901XPublic Health & General Preventive Medicine Physician336035459IL
3207R00000XInternal Medicine Physician336035459IL
4207QA0505XAdult Medicine Physician336035459IL

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 : 1558584391
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MEHBUB S KAPADIA M.D.
Provider Business Mailing Address
First Line : 6505 N LONGMEADOW AVE
Second Line :
City : LINCOLNWOOD
State : IL
Zip : 60712-3205
Country : US
Telephone Number : 773-338-8600
Fax Number : 773-338-7700
Provider Business Practice Location Address
First Line : 33 W GRAND AVE STE 500
Second Line :
City : CHICAGO
State : IL
Zip : 60654-6799
Country : US
Telephone Number : 800-325-1812
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2007
Last Update Date : 07/09/2025

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