Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 28711 | AZ |
NPI | 1003826926 |
---|---|
Provider Name | Dr. Dimpy Kapoor |
First Address | Glendale, AZ 85308-4621 |
Second Address | Phoenix, AZ 85037-3328 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2006 |
Last Update Date | 16/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H63252 | (02) | AZ |