Individual
MICHAEL L CAPUANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 791-2480
(803) 936-4102
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
00514
RI
207R00000X
Internal Medicine Physician
39914
SC
208M00000X
Hospitalist Physician
Primary
39914
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396864542
NPI KENT HOSPITAL PBO
RI
05
—
7008372
—
RI
Enumeration date
02/22/2006
Last updated
04/30/2021
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