Provider Demographics
NPI:1265675516
Name:KAPADIA, SAMIR (MD)
Entity type:Individual
Prefix:
First Name:SAMIR
Middle Name:
Last Name:KAPADIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2035 TECHNOLOGY PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-9422
Mailing Address - Country:US
Mailing Address - Phone:717-988-8567
Mailing Address - Fax:717-221-5201
Practice Address - Street 1:2035 TECHNOLOGY PKWY STE 200
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-9422
Practice Address - Country:US
Practice Address - Phone:717-988-8567
Practice Address - Fax:717-221-5201
Is Sole Proprietor?:No
Enumeration Date:2009-04-16
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY266593207RG0100X, 207R00000X
MT78293207RG0100X
NJ25MA11209100207RG0100X
PAMD485339207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0960365Medicaid