Provider Demographics
NPI:1841295334
Name:KADAKIA, RUPIN A (MD)
Entity type:Individual
Prefix:DR
First Name:RUPIN
Middle Name:A
Last Name:KADAKIA
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 1:13325 HARGRAVE RD STE 150
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-4541
Mailing Address - Country:US
Mailing Address - Phone:281-955-7863
Mailing Address - Fax:281-477-8832
Practice Address - Street 1:13325 HARGRAVE RD STE 150
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4541
Practice Address - Country:US
Practice Address - Phone:281-955-7863
Practice Address - Fax:281-477-8832
Is Sole Proprietor?:No
Enumeration Date:2005-06-20
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6449207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX10012698OtherAMERIGROUP
TX2500582OtherEVERCARE
TX8J1950OtherBC BS OF TEXAS
TXP00029954OtherRAIL ROAD MEDICARE
TX158499701Medicaid
TX7652264OtherAETNA PPO
TX3426741OtherAETNA HMO
TXP00029954OtherRR MEDICARE
TX3426741OtherAETNA HMO
TX2500582OtherEVERCARE