Individual
SANDEEP KAPOOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2109 CLUB VISTA PL, BUSINESS OFFICE, LOUISVILLE, KY 40245-5224
(502) 530-0916
(502) 719-1124
Mailing address
PO BOX 43896, LOUISVILLE, KY 40253-0896
(502) 523-0719
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35485
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64018518
—
KY
Enumeration date
05/19/2006
Last updated
04/24/2023
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