# SANDEEP KAPOOR, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235469255
- **Authorized official:** SANDEEP KAPOOR MD (OWNER)
- **Authorized official phone:** (502) 931-8331

## Contact information

- **Practice address:** 2109 CLUB VISTA PL, LOUISVILLE, KY 40245-5224
- **Practice address phone:** (502) 931-8331
- **Practice address fax:** (502) 348-3275
- **Mailing address:** PO BOX 43896, LOUISVILLE, KY 40253-0896
- **Mailing address phone:** (502) 931-8331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/14/2010
- **Last updated:** 08/14/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7100237480 | — | KY |
| 05 | — | 7100300360 | — | KY |