Organization
G. R. KAPOOR & S. R. OZA M.DS. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GOPALKRISHNA RAGHUNATHRAJ KAPOOR M.D. (PRESIDENT)
(216) 252-8444
Entity
Organization
Contact information
Practice address
16111 LORAIN AVE, CLEVELAND, OH 44111-5520
(216) 252-8444
(216) 252-7224
Mailing address
16111 LORAIN AVE, CLEVELAND, OH 44111-5520
(216) 252-8444
(216) 252-7224
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35043533
OH
207R00000X
Internal Medicine Physician
35045653
OH
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
35043533
OH
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
35045653
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0435738
—
OH
05
—
0444031
—
OH
05
—
0509300
—
OH
01
—
110146232
RAILROAD MEDICARE PIN
OH
01
—
793111449
RAILROAD MEDICARE PIN
OH
01
—
A79970
UPIN
OH
01
—
C01949
UPIN
OH
01
—
CK3114
RAILROAD MEDICARE GROUP PTAN
OH
Enumeration date
09/18/2007
Last updated
12/20/2010
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