Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 34261 | KY |
NPI | 1023065745 |
---|---|
Provider Name | Deepak Kapadia |
First Address | Madisonville, KY 42431-1652 |
Second Address | Madisonville, KY 42431-1652 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2006 |
Last Update Date | 30/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000044327 | BCBS PROVIDER NUMBER (01) | KY |
64342611 | (05) | KY |
BK3863683 | DEA (01) | |
G42875 | (02) |