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Organization
SANDEEP KAPOOR, PLLC
Active
Organization
SANDEEP KAPOOR, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDEEP KAPOOR MD (OWNER)
(502) 931-8331
Entity
Organization
Contact information
Practice address
2109 CLUB VISTA PL, LOUISVILLE, KY 40245-5224
(502) 931-8331
(502) 348-3275
Mailing address
PO BOX 43896, LOUISVILLE, KY 40253-0896
(502) 931-8331
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35485
KY
363L00000X
Nurse Practitioner
—
KY
363LA2200X
Adult Health Nurse Practitioner
—
KY
363LF0000X
Family Nurse Practitioner
—
KY
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100237480
—
KY
05
—
7100300360
—
KY
Enumeration date
01/14/2010
Last updated
08/14/2024
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