Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | MD427827 | PA |
Y | 207QS0010X | Family Doctor - Sports Medicine | 63808 | MN |
N | 207QS0010X | Family Doctor - Sports Medicine | MD427827 | PA |
NPI | 1295931962 |
---|---|
Provider Name | Rahul Kapur |
First Address | Minneapolis, MN 55455-0341 |
Second Address | Saint Paul, MN 55106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2007 |
Last Update Date | 21/06/2018 |