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Individual

MRS. DEVI S KADAKIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
30 E APPLE ST STE 5253, DAYTON, OH 45409
(937) 208-5439
Mailing address
30 E APPLE ST STE 5253, DAYTON, OH 45409-2939
(937) 208-5439

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
017237-1
NY
363AS0400X
Surgical Physician Assistant
Primary
50.005791RX
OH
363AS0400X
Surgical Physician Assistant
C0004467
MD

Other

Enumeration date
06/29/2011
Last updated
11/30/2018
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