Individual
DR. SHIV KAPOOR III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 SAINT PAUL ST, BALTIMORE, MD 21202-2102
(410) 332-9594
(410) 783-5575
Mailing address
PO BOX 62063, BALTIMORE, MD 21264-2063
(410) 706-5181
(410) 706-5103
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
4971
SD
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
D50775
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
413107000
—
MD
05
—
6701500
—
SD
Enumeration date
01/24/2006
Last updated
09/15/2011
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