Individual
DR. SIMRAN SHASHI KAPUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1171 W TARGET RANGE RD, NOGALES, AZ 85621-2415
(520) 285-8020
Mailing address
305 W JACKSON ST, SUITE 200, CARBONDALE, IL 62901-1474
(618) 536-6621
(618) 453-1102
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01073627A
IN
207P00000X
Emergency Medicine Physician
Primary
51003
AZ
207Q00000X
Family Medicine Physician
125-060331
IL
Other
Enumeration date
05/18/2012
Last updated
12/11/2024
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