MEDICARE: MINAL DILEEP TAPADIA

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	207X00000X	Orthopaedic Surgery Physician	ME130784	FL
2	207X00000X	Orthopaedic Surgery Physician	A122836	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0982150	OTHER	FL	CIGNA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	X0XCK	OTHER	FL	FL BCBS

General Provider Information

NPI Number	:	1982995916
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MINAL DILEEP TAPADIA

Provider Business Mailing Address
First Line	:	4 TRAFALGAR
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-6830
Country	:	US
Telephone Number	:	907-204-1710
Fax Number	:

Provider Business Practice Location Address
First Line	:	11170 WARNER AVE STE 106
Second Line	:
City	:	FOUNTAIN VALLEY
State	:	CA
Zip	:	92708-4014
Country	:	US
Telephone Number	:	714-540-3244
Fax Number	:	714-540-5842

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

Provider Enumeration Date	:	04/25/2011
Last Update Date	:	11/30/2020

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Directions to “ MINAL DILEEP TAPADIA ” Practice Location

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