Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 21729 | MI |
NPI | 1174028112 |
---|---|
Provider Name | Dr. Yash Kapadia |
First Address | Novi, MI 48375-5400 |
Second Address | Lansing, MI 48910-1897 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2018 |
Last Update Date | 27/02/2020 |