Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | J9725 | TX |
NPI | 1013945740 |
---|---|
Provider Name | Dr. Kapil Kashyap |
First Address | Dallas, TX 75284-0853 |
Second Address | Victoria, TX 77904-2178 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2006 |
Last Update Date | 30/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
050061859 | UNSPECIFIED RAILROAD MEDICARE (01) | TX |
104906601 | (05) | TX |
104906605 | (05) | TX |
8CN282 | BCBS (01) | TX |