Provider Demographics
NPI:1134108954
Name:KAPADIA, DILIP L (MD)
Entity Type:Individual
Prefix:DR
First Name:DILIP
Middle Name:L
Last Name:KAPADIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 N LANSDOWNE AVE
Mailing Address - Street 2:DCMH
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-1114
Mailing Address - Country:US
Mailing Address - Phone:610-394-1735
Mailing Address - Fax:610-284-8312
Practice Address - Street 1:501 N LANSDOWNE AVE
Practice Address - Street 2:DCMH
Practice Address - City:DREXEL HILL
Practice Address - State:PA
Practice Address - Zip Code:19026-1114
Practice Address - Country:US
Practice Address - Phone:610-394-1735
Practice Address - Fax:610-284-8312
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD037720L2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102165004Medicaid
B35232Medicare UPIN
PA102165004Medicaid
PA081980Medicare ID - Type Unspecified