MEDICARE: VINAY KAPADIA FNP

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	363LF0000X	Family Nurse Practitioner	AP8916	AZ

General Provider Information

NPI Number	:	1598212003
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VINAY KAPADIA FNP

Provider Business Mailing Address
First Line	:	6320 W UNION HILLS DR
Second Line	:	ATE A270
City	:	GLENDALE
State	:	AZ
Zip	:	85308
Country	:	US
Telephone Number	:	480-765-2800
Fax Number	:

Provider Business Practice Location Address
First Line	:	18700 N 64TH DR STE 205
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85308-7112
Country	:	US
Telephone Number	:	623-455-5084
Fax Number	:	623-455-5087

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

Provider Enumeration Date	:	09/01/2016
Last Update Date	:	11/07/2019

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