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Individual

ASHOK KAPUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11104 PARKVIEW CIRCLE DR STE 310, FORT WAYNE, IN 46845
(260) 266-5230
(260) 266-5238
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01081876A
IN
207RG0100X
Gastroenterology Physician
33509
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000530619
ANTHEM
KY
05
64330590
KY
01
P00424386
RAILROOAD MEDICARE
KY
Enumeration date
05/19/2006
Last updated
10/16/2024
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