Provider Demographics
NPI:1235321738
Name:KAPADIA, SHEFALI A (MD)
Entity Type:Individual
Prefix:DR
First Name:SHEFALI
Middle Name:A
Last Name:KAPADIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11500 HIGHWAY 62
Mailing Address - Street 2:
Mailing Address - City:CHARLESTOWN
Mailing Address - State:IN
Mailing Address - Zip Code:47111-8612
Mailing Address - Country:US
Mailing Address - Phone:812-256-0700
Mailing Address - Fax:812-256-0704
Practice Address - Street 1:11500 HIGHWAY 62
Practice Address - Street 2:
Practice Address - City:CHARLESTOWN
Practice Address - State:IN
Practice Address - Zip Code:47111-8612
Practice Address - Country:US
Practice Address - Phone:812-256-0700
Practice Address - Fax:812-256-0704
Is Sole Proprietor?:No
Enumeration Date:2007-08-17
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01064474A207R00000X, 207RI0200X
PAMD431287207RI0200X
KY41640207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYP01589735OtherRAILROAD MEDICARE
KY7100069140Medicaid
INP01374603OtherRAILROAD MEDICARE
IN000000884400OtherANTHEM
IN200891470Medicaid
IN000000884400OtherANTHEM
KYP01589735OtherRAILROAD MEDICARE