Individual
ATUL P KAPADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1966 OPITZ BLVD, WOODBRIDGE, VA 22191-3304
(703) 897-8389
(571) 398-6358
Mailing address
4900 N CENTAURS CT, ANNANDALE, VA 22003-4203
(703) 897-8389
(703) 897-5669
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101057778
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020603979
TAX ID
—
01
—
2165485
UNITED HEALTHCARE
—
01
—
385618
ANTHEM, BCBS
VA
01
—
5282681
AETNA
VA
05
—
5873177
—
VA
Enumeration date
08/05/2006
Last updated
03/06/2017
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