Individual
FAKHRUDDIN S KAPADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1166 K ST, BRAWLEY, CA 92227-2737
(760) 344-9951
Mailing address
4299 ROSEBERRY CT, WATERFORD, MI 48329-4140
(248) 674-0401
(248) 674-8468
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301032582
MI
208000000X
Pediatrics Physician
Primary
C138320
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1129822
—
MI
Enumeration date
07/31/2006
Last updated
03/23/2018
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