Provider Demographics
NPI:1437120698
Name:KADAKIA, PAROOL MAYUR (MD)
Entity Type:Individual
Prefix:DR
First Name:PAROOL
Middle Name:MAYUR
Last Name:KADAKIA
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:PO BOX 635156
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-5156
Mailing Address - Country:US
Mailing Address - Phone:513-745-9993
Mailing Address - Fax:513-745-9269
Practice Address - Street 1:4260 GLENDALE MILFORD RD
Practice Address - Street 2:SUITE 101
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-3704
Practice Address - Country:US
Practice Address - Phone:513-745-9993
Practice Address - Fax:513-745-9269
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35074269K207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2207089Medicaid
OHKA0862713Medicare ID - Type Unspecified
OHG82636Medicare UPIN