Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 10183 | KY |
NPI | 1003390352 |
---|---|
Provider Name | Dr. Niyati Kapadia |
First Address | Louisville, KY 40202-1701 |
Second Address | Louisville, KY 40202-5705 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2018 |
Last Update Date | 22/09/2018 |