Provider Demographics
NPI:1588007231
Name:KAPADIA, SAMEER MEHBUB (MD)
Entity Type:Individual
Prefix:
First Name:SAMEER
Middle Name:MEHBUB
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 1:10400 W HIGGINS RD STE 100
Mailing Address - Street 2:
Mailing Address - City:ROSEMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60018-3703
Mailing Address - Country:US
Mailing Address - Phone:847-853-9900
Mailing Address - Fax:
Practice Address - Street 1:10400 W HIGGINS RD STE 100
Practice Address - Street 2:
Practice Address - City:ROSEMONT
Practice Address - State:IL
Practice Address - Zip Code:60018-3703
Practice Address - Country:US
Practice Address - Phone:847-853-9900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-12
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036157232208200000X
GA80745208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery