MEDICARE: DEEPTI G KAPADIA MD

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	207Q00000X	Family Medicine Physician	H2068	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649285701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEEPTI G KAPADIA MD

Provider Business Mailing Address
First Line	:	4515 SETON CENTER PKWY
Second Line	:	SUITE 215-CREDENTIALING
City	:	AUSTIN
State	:	TX
Zip	:	78759-5290
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1807 W SLAUGHTER LN #490
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78748-6208
Country	:	US
Telephone Number	:	512-282-8967
Fax Number	:	512-406-7351

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

Provider Enumeration Date	:	07/29/2006
Last Update Date	:	12/05/2016

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Directions to “ DEEPTI G KAPADIA MD” Practice Location

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