Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | D0064933 | MD |
NPI | 1033127634 |
---|---|
Provider Name | Kapil Simlote |
First Address | Baltimore, MD 21237-4317 |
Second Address | Baltimore, MD 21237-4317 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 12/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
708L | GROUP NUMBER (01) | MD |
708LP540 | INDIVIDUAL NUMBER (01) | MD |