Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | A31025 | CA |
NPI | 1629004528 |
---|---|
Provider Name | Dr. Pravin L Kapadia |
First Address | Norwalk, CA 90650-3266 |
Second Address | Norwalk, CA 90650-3251 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2006 |
Last Update Date | 08/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A26316 | (02) | CA |