Provider Demographics
NPI:1942510441
Name:DILIP TAPADIYA M.D. INC
Entity Type:Organization
Organization Name:DILIP TAPADIYA M.D. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:TAPADIYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-540-3244
Mailing Address - Street 1:11170 WARNER AVE SUITE 106
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708
Mailing Address - Country:US
Mailing Address - Phone:714-540-3244
Mailing Address - Fax:714-540-5842
Practice Address - Street 1:11170 WARNER AVE SUITE106
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708
Practice Address - Country:US
Practice Address - Phone:714-540-3244
Practice Address - Fax:714-540-5842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-18
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA36858207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1236230001Medicare NSC