Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 25869 | TX |
Y | 213EG0000X | General Practice | 25869 | TX |
N | 1223G0001X | General Practice | 59448 | CA |
N | 213EG0000X | General Practice | 59448 | CA |
NPI | 1003121880 |
---|---|
Provider Name | Dr. Kapil Deepak Kirpekar |
First Address | Schaumburg, IL 60173-4189 |
Second Address | San Antonio, TX 78244-1771 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2010 |
Last Update Date | 17/08/2010 |