Individual
BIANCA COSTA KAPOOR-HEAPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, DIVISION OF CHILD NEUROLOGY, PHILADELPHIA, PA 19104-4399
(215) 590-1719
Mailing address
3401 CIVIC CENTER BLVD, DIVISION OF CHILD NEUROLOGY, PHILADELPHIA, PA 19104-4319
(215) 590-1719
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MT218051
PA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MT218051
PA
Other
Enumeration date
06/03/2019
Last updated
04/19/2022
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