Individual
PATRIZIO CAPASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3621 BARROW WOOD LN, LEXINGTON, KY 40502-6107
(702) 234-7430
Mailing address
3621 BARROW WOOD LN, LEXINGTON, KY 40502-6107
(702) 234-7430
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
36104533
IL
2085R0202X
Diagnostic Radiology Physician
42595
KY
2085R0204X
Vascular & Interventional Radiology Physician
42595
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036104533
—
IL
05
—
7100077850
—
KY
Enumeration date
04/27/2006
Last updated
12/03/2012
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