Kapoor, Om P

Kapoor, Om P is an sole proprietor health care provider with primary practice located at 4131 University Blvd S Ste 3 , Jacksonville FL 32216-4346. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Kapoor, Om P can be contacted via phone (904) 312-9201.

Contact Information

Primary practice address
4131 University Blvd S Ste 3 Jacksonville FL 32216-4346
Fax: (904) 312-9202
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X ME101418 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME101418 Florida
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X ME101418 Florida

Profile Details

NPI number 1891733952
LBN Legal business name Kapoor, Om P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2006
Last updated Sep 16th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891733952 NPPES
Florida Other P00641042 RAILROAD MEDICARE
Florida MEDICAID 281253300 RAILROAD MEDICARE

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