Individual
DR. SHYAM KAPADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5216 CLAYTON CT, FORT MYERS, FL 33907
(239) 343-8260
(239) 424-2442
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-8260
(239) 343-8261
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME126321
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME126321
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025055600
—
FL
05
—
390200000X
—
MD
Enumeration date
03/09/2012
Last updated
03/29/2021
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