Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 047410 | MA |
NPI | 1134151905 |
---|---|
Provider Name | Panna Kapadia |
First Address | Lowell, MA 01854-3548 |
Second Address | Lowell, MA 01854-3548 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
9751564 | (05) | MA |
A63461 | (02) | MA |