MEDICARE: MS. MEHA KAPADIA DMD

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	122300000X	Dentist	56843	CA

General Provider Information

NPI Number	:	1871763425
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MEHA KAPADIA DMD

Provider Business Mailing Address
First Line	:	1123 TREAT AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-4123
Country	:	US
Telephone Number	:	415-641-5473
Fax Number	:

Provider Business Practice Location Address
First Line	:	1123 TREAT AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-4123
Country	:	US
Telephone Number	:	415-641-5473
Fax Number	:

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

Provider Enumeration Date	:	03/10/2008
Last Update Date	:	03/10/2008

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