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Individual

SHAWN KAPOOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
25055 RIDING PLZ, SUITE 150, SOUTH RIDING, VA 20152-5917
(703) 327-0075
Mailing address
9300 DEWITT LOOP DEPT OF, FORT BELVOIR, VA 22060-5285
(571) 231-1015
(571) 231-6631

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0102204055
VA
208000000X
Pediatrics Physician
H0065410
MD
208000000X
Pediatrics Physician
OS015507
PA

Other

Enumeration date
04/10/2007
Last updated
03/31/2023
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