Provider Demographics
NPI:1518529130
Name:KAPADIA, RONAK KAMAL (MD)
Entity Type:Individual
Prefix:MR
First Name:RONAK
Middle Name:KAMAL
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 1:12700 E. 19TH AVE
Mailing Address - Street 2:MS B182 RM 5104
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045
Mailing Address - Country:US
Mailing Address - Phone:720-365-5514
Mailing Address - Fax:303-724-4329
Practice Address - Street 1:12700 E. 19TH AVE
Practice Address - Street 2:MS B182 RM 5104
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045
Practice Address - Country:US
Practice Address - Phone:720-365-5514
Practice Address - Fax:303-724-4329
Is Sole Proprietor?:No
Enumeration Date:2019-07-03
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0062299390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program