Individual
AMI KAPADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11719 NE 95TH ST STE A/D, VANCOUVER, WA 98682-2444
(360) 397-8246
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD 153491
OR
207Q00000X
Family Medicine Physician
MD.MD.61420145
WA
207Q00000X
Family Medicine Physician
MD433101
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0171948
—
NJ
05
—
1021982730001
—
PA
05
—
500637214
—
OR
01
—
P00983321
RR MEDICARE - PH&S
OR
Enumeration date
04/10/2007
Last updated
04/04/2023
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