Provider Demographics
NPI:1023065745
Name:KAPADIA, DEEPAK (MD)
Entity type:Individual
Prefix:
First Name:DEEPAK
Middle Name:
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 1:550 HOSPITAL DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:MADISONVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42431-1652
Mailing Address - Country:US
Mailing Address - Phone:270-821-5454
Mailing Address - Fax:270-326-4968
Practice Address - Street 1:550 HOSPITAL DR
Practice Address - Street 2:SUITE B
Practice Address - City:MADISONVILLE
Practice Address - State:KY
Practice Address - Zip Code:42431-1652
Practice Address - Country:US
Practice Address - Phone:270-821-5454
Practice Address - Fax:270-326-4968
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-28
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY34261207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64342611Medicaid
KY000000044327OtherBCBS PROVIDER NUMBER
KY000000044327OtherBCBS PROVIDER NUMBER
KY000000044327OtherBCBS PROVIDER NUMBER
KY0987701Medicare PIN
KY0376170Medicare PIN
KY0935393Medicare PIN
KY060056873Medicare PIN
KY0375123Medicare PIN
KY64342611Medicaid
KY0691603Medicare PIN