# VISHWA KAPOOR,M.D. INC

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

## Provider details

- **NPI number:** 1497026439
- **Authorized official:** DR. VISHWA M KAPOOR MD (CEO)
- **Authorized official phone:** (760) 604-2714

## Contact information

- **Practice address:** 1745 S IMPERIAL AVE, A, EL CENTRO, CA 92243-4243
- **Practice address phone:** (760) 604-2714
- **Practice address fax:** (760) 344-7106
- **Mailing address:** PO BOX 2280, A, EL CENTRO, CA 92244-2280
- **Mailing address phone:** (760) 604-2714
- **Mailing address fax:** (760) 344-7106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0207X | Pediatric Hematology & Oncology Physician | A41870 | CA | Yes |

## Other

- **Enumeration date:** 01/23/2012
- **Last updated:** 01/23/2012
