Individual
DR. NIMISH RAJ KADAKIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 ODYSSEY STE 205, IRVINE, CA 92618-3197
(949) 870-3332
(949) 900-2116
Mailing address
24331 EL TORO RD STE 200, LAGUNA WOODS, CA 92637-3116
(949) 870-3332
(951) 264-4327
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A79590
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A79590
CA
Other
Enumeration date
04/04/2006
Last updated
10/16/2023
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