Individual
PRADIP R KADAKIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 338-4941
(585) 467-4626
Mailing address
100 KINGS HIGHWAY SOUTH, PROVIDER ENROLLMENT, ROCHESTER, NY 14617-5504
(585) 922-1304
(585) 922-1399
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
189642
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00027337101
UNIVERA
NY
05
—
00355266
—
NY
01
—
0191954
IHA
NY
01
—
101427DL
PREFERRED CARE
NY
01
—
10498512
CAQH
NY
01
—
P010189642
BLUE CHOICE
NY
Enumeration date
05/03/2006
Last updated
09/18/2018
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