Individual
ALISHA E CAPPS
Active
Individual
ALISHA E CAPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01078948A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201300570
—
IN
01
—
959090109
MEDICARE PTAN
IN
01
—
P02526403
RAILROAD PTAN
IN
Enumeration date
03/24/2015
Last updated
02/12/2024
Update your record
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