Provider Demographics
NPI:1003423286
Name:MAKADIA, RADHIKA (DMD, BDS)
Entity Type:Individual
Prefix:DR
First Name:RADHIKA
Middle Name:
Last Name:MAKADIA
Suffix:
Gender:F
Credentials:DMD, BDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8387 BUTTERFLY BUSH CT
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92883-4936
Mailing Address - Country:US
Mailing Address - Phone:951-403-3325
Mailing Address - Fax:
Practice Address - Street 1:8387 BUTTERFLY BUSH CT
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92883-4936
Practice Address - Country:US
Practice Address - Phone:951-403-3325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-30
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA105602122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist