Individual
MATTHIAS H KAPTURCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
25618
AL
207RN0300X
Nephrology Physician
Primary
M7318
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00522291
MISSISSIPPI MEDICAID
MS
05
—
009942785
—
AL
01
—
051519668
BLUE CROSS
AL
01
—
051519669
BLUE CROSS
AL
05
—
051554438
—
AL
05
—
192391401
—
TX
01
—
P00605744
MEDICARE RAILROAD
TX
Enumeration date
06/27/2006
Last updated
08/26/2020
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