Provider Demographics
NPI:1619911187
Name:KAPADIA, GOPI ANAY (DDS)
Entity Type:Individual
Prefix:DR
First Name:GOPI
Middle Name:ANAY
Last Name:KAPADIA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4008 N 33RD AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85017-4510
Mailing Address - Country:US
Mailing Address - Phone:602-266-9659
Mailing Address - Fax:602-266-8275
Practice Address - Street 1:4008 N 33RD AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85017-4510
Practice Address - Country:US
Practice Address - Phone:602-266-9659
Practice Address - Fax:602-266-8275
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD62851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ977572Medicaid