Provider Demographics
NPI:1730342221
Name:KAPADIA, SUJAY DIPAK (MD)
Entity type:Individual
Prefix:DR
First Name:SUJAY
Middle Name:DIPAK
Last Name:KAPADIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 1ST AVE
Mailing Address - Street 2:5B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-3406
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:224 1ST AVE
Practice Address - Street 2:5B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-3406
Practice Address - Country:US
Practice Address - Phone:630-699-6672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-06
Last Update Date:2008-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY159544OtherEMPLOYEE ID