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Individual

DR. GOPAL R KAPOOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
16111 LORAIN AVE, CLEVELAND, OH 44111
(216) 252-8444
(216) 252-2724
Mailing address
16111 LORAIN AVE, CLEVELAND, OH 44111-5520
(216) 252-8444
(216) 252-2724

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35043533
OH
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
35-043533
OH
208000000X
Pediatrics Physician
35043533
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0435738
OH
01
1851587455
GROUP NPI
OH
01
793111449
RAILROAD MEDICARE PIN
OH
01
9916374
MEDICARE GROUP PIN
OH
01
CK3114
RAILROAD MEDICARE GROUP PIN
OH
Enumeration date
11/01/2006
Last updated
05/15/2018
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