Individual
DEEPAK KAPOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-8623
(706) 721-1459
Mailing address
1120 15TH ST STE BI1056, AUGUSTA, GA 30912-0004
(706) 721-3813
(706) 721-9286
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
51957
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000962563A
—
GA
05
—
G51957
—
SC
Enumeration date
08/30/2006
Last updated
05/29/2019
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