Organization Name: | SANDEEP KAPOOR, PLLC |
NPI Number: | 1235469255 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANDEEP KAPOOR (PHYSICIAN/OWNER) |
Mailing Address: | 802 Overhill Dr Shepherdsville |
State: | KY US |
Postal Code: | 401657252 |
Phone Number: | 5025439124 |
Fax Number: | 5025430844 |
NPI Enumeration Date: | 01/14/2010 |
NPI Last Update Date: | 06/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |