| Dr Sudhir Kapoor, MBBS, MD, ABIM | |
|
2305 Georgia St, Louisiana, MO 63353-2559 | |
| (802) 310-0937 | |
| Not Available |
| Full Name | Dr Sudhir Kapoor |
|---|---|
| Gender | Male |
| Speciality | Critical Care (intensivists) |
| Experience | 29 Years |
| Location | 2305 Georgia St, Louisiana, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013073824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0200X | Internal Medicine - Critical Care Medicine | ME96934 (Florida) | Secondary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | A97433 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lakewood Regional Medical Center | Lakewood, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prohealth Partners, A Medical Group | 2769388412 | 237 |
| Regents Of The University Of California | 5597663641 | 62 |
| Entity Name | Prohealth Partners, A Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003949975 PECOS PAC ID: 2769388412 Enrollment ID: O20031211000927 |
| Entity Name | Regents Of The University Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679521850 PECOS PAC ID: 5597663641 Enrollment ID: O20031226000376 |
| Entity Name | Chest And Critical Care Consultants A Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598852717 PECOS PAC ID: 7911987961 Enrollment ID: O20040721001161 |
| Entity Name | East Valley Emergency Medical Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346287430 PECOS PAC ID: 3870579691 Enrollment ID: O20050506000210 |
| Entity Name | First Choice Physician Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104183052 PECOS PAC ID: 0941465322 Enrollment ID: O20120710000480 |
| Entity Name | Southland Emergency Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932640935 PECOS PAC ID: 9830466796 Enrollment ID: O20170524001180 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sudhir Kapoor, MBBS, MD, ABIM 2305 Georgia St, Louisiana, MO 63353-2559 Ph: (802) 310-0937 | Dr Sudhir Kapoor, MBBS, MD, ABIM 2305 Georgia St, Louisiana, MO 63353-2559 Ph: (802) 310-0937 |