MEDICARE: ANKITA KATHPALIA

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
1	1223G0001X	General Practice Dentistry	30025243	OH
2	1223E0200X	Endodontics	DDS110851	CA

General Provider Information

NPI Number	:	1558746883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANKITA KATHPALIA

Provider Business Mailing Address
First Line	:	2500 METROHEALTH DR
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44109-1900
Country	:	US
Telephone Number	:	908-616-1757
Fax Number	:

Provider Business Practice Location Address
First Line	:	222 14TH ST LOWR LEVEL01
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94612-4059
Country	:	US
Telephone Number	:	510-451-6828
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2015
Last Update Date	:	11/10/2024

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Directions to “ ANKITA KATHPALIA ” Practice Location

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