| Sandeep Kapoor, Pllc | |
|
2109 Club Vista Pl Louisville KY 40245-5224 | |
| (502) 931-8331 | |
| (502) 348-3275 |
| Full Name | Sandeep Kapoor, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2109 Club Vista Pl, Louisville, Kentucky |
| Authorized Official Name and Position | Sandeep Kapoor (OWNER) |
| Authorized Official Contact | 5029318331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandeep Kapoor, Pllc Po Box 43896 Louisville KY 40253-0896 Ph: (502) 931-8331 | Sandeep Kapoor, Pllc 2109 Club Vista Pl Louisville KY 40245-5224 Ph: (502) 931-8331 |
| NPI Number | 1235469255 |
|---|---|
| Provider Enumeration Date | 01/14/2010 |
| Last Update Date | 07/29/2022 |
| Medicare PECOS PAC ID | 6709913742 |
|---|---|
| Medicare Enrollment ID | O20200128000920 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235469255 | NPI | - | NPPES |
| 7100237480 | Medicaid | KY | |
| 7100300360 | Medicaid | KY |
| Provider Name | Natalie D Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811559321 PECOS PAC ID: 7517393200 Enrollment ID: I20200128001231 |
| Provider Name | Sandeep Kapoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043264641 PECOS PAC ID: 9638206683 Enrollment ID: I20200129000074 |
| Provider Name | Emily D Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760018501 PECOS PAC ID: 1759710049 Enrollment ID: I20200408003718 |
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