Individual
SUSANNA ELLEN KAPOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2905 W WARNER RD, 12, CHANDLER, AZ 85224-1674
(480) 831-8457
(480) 491-3112
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
(480) 491-3112
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5433
AZ
Other
Enumeration date
12/29/2008
Last updated
11/19/2024
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