Provider Demographics
NPI:1215498282
Name:MINAL D TAPADIA MD INC
Entity type:Organization
Organization Name:MINAL D TAPADIA MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MINAL
Authorized Official - Middle Name:
Authorized Official - Last Name:TAPADIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:907-204-1710
Mailing Address - Street 1:4 TRAFALGAR
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-6830
Mailing Address - Country:US
Mailing Address - Phone:907-204-1710
Mailing Address - Fax:
Practice Address - Street 1:11170 WARNER AVE STE 106
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-4014
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:2019-03-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty