Individual
NIDHI KAPOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
593 EDDY ST, 55 CLAVERICK 2ND FLOOR, PROVIDENCE, RI 02903-4923
(401) 444-5210
(401) 444-2307
Mailing address
506 MORRIS AVE, PROVIDENCE, RI 02906-3531
(401) 270-3998
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD11163
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912972324
NPI
—
01
—
27420-3
BLUECROSS BLUESHIELD
RI
05
—
7010525
—
RI
Enumeration date
02/20/2006
Last updated
01/04/2008
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