Kapadwala, Imtiyaz I

Kapadwala, Imtiyaz I is an sole proprietor health care provider with primary practice located at 220A Saint Nicholas Ave , Brooklyn NY 11237-4807. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Kapadwala, Imtiyaz I can be contacted via phone (718) 418-8540.

Contact Information

Primary practice address
220A Saint Nicholas Ave Brooklyn NY 11237-4807
Phone: (718) 418-8540
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X N005412 New York
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X NOO5412 New York

Profile Details

NPI number 1912977364
LBN Legal business name Kapadwala, Imtiyaz I
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2006
Last updated Mar 7th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912977364 NPPES
New York MEDICAID 01808488

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