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Individual

DR. SHAILENDRA KAPOOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 LAKE HEARN DR STE 250&500, KAISER PERMANENTE SANDY SPRINGS MEDICAL CENTER, SANDY SPRINGS, GA 30342-1523
(404) 845-4500
(804) 741-6213
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 504-5678
(804) 741-6213

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101245670
VA
207Q00000X
Family Medicine Physician
036.119478
IL
207Q00000X
Family Medicine Physician
Primary
076590
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C05698
GROUP PTAN
VA
01
C06778
GROUP PTAN
VA
01
C09633
GROUP PTAN
VA
Enumeration date
03/09/2008
Last updated
01/10/2022
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