Individual
SANJEEV KAPURIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
526 BANKHEAD HWY STE 101, CARROLLTON, GA 30117-2463
(770) 962-3642
(770) 962-3643
Mailing address
455 PHILIP BLVD STE 140, LAWRENCEVILLE, GA 30046-8768
(770) 962-3642
(770) 962-3643
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
057090
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107336457A
—
GA
05
—
107336457B
—
GA
01
—
198493
BCBS
GA
01
—
339463
WELLCARE CMO
GA
01
—
550789920
TRICARE
GA
05
—
G57090
—
SC
01
—
P00320036
RRMEDICARE
GA
Enumeration date
10/19/2006
Last updated
01/16/2026
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