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Individual

AMEETA KAPU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1850 HICKORY ST, ABILENE, TX 79601-2325
(325) 670-3970
(325) 670-3979
Mailing address
1904 PINE ST STE 4A, ABILENE, TX 79601-2450
(325) 670-4020
(888) 437-1271

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
K0500
TX
207V00000X
Obstetrics & Gynecology Physician
Primary
K0500
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0014CU
BCBS PROVIDER NUMBER
TX
05
030980901
TX
01
752768101
TAXPAYER ID
TX
Enumeration date
08/01/2006
Last updated
02/17/2022
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