Individual
PUSHP RAJ KAPOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MRCPI
Contact information
Practice address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 240-2829
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2736
(320) 240-2829
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
39352
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1628232-00
—
MN
Enumeration date
05/18/2006
Last updated
03/20/2018
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