Provider Demographics
NPI:1255483012
Name:KAPADIA, MILAN RASIKLAL (MD)
Entity Type:Individual
Prefix:DR
First Name:MILAN
Middle Name:RASIKLAL
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 1:36 CAMBRIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:PRINCETON JUNCTION
Mailing Address - State:NJ
Mailing Address - Zip Code:08550-1812
Mailing Address - Country:US
Mailing Address - Phone:609-799-2284
Mailing Address - Fax:609-631-9008
Practice Address - Street 1:1 NAMI LN STE 8
Practice Address - Street 2:
Practice Address - City:MERCERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08619-1251
Practice Address - Country:US
Practice Address - Phone:609-631-9006
Practice Address - Fax:609-631-9008
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05204500208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7092407Medicaid
NJ7092407Medicaid