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
Phone: (904) 312-9201
Fax: (904) 312-9202
Website:
Health care specialties
| Specialty | Code | License # | 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 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891733952 | NPPES |
| Florida | Other | P00641042 | RAILROAD MEDICARE |
| Florida | MEDICAID | 281253300 | RAILROAD MEDICARE |
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