Provider Demographics
NPI:1871711309
Name:KAPOOR, VIKAS (MD,)
Entity type:Individual
Prefix:DR
First Name:VIKAS
Middle Name:
Last Name:KAPOOR
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10110 MOLECULAR DR
Mailing Address - Street 2:SUITE 206
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-7539
Mailing Address - Country:US
Mailing Address - Phone:301-279-2779
Mailing Address - Fax:301-279-2767
Practice Address - Street 1:10110 MOLECULAR DR
Practice Address - Street 2:SUITE 206
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-7539
Practice Address - Country:US
Practice Address - Phone:301-279-2779
Practice Address - Fax:301-279-2767
Is Sole Proprietor?:No
Enumeration Date:2007-04-22
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08281600207RI0200X
MDD0072932207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0143413Medicaid
DC228476Y5KOtherMEDICARE
NJP00718274OtherRAILROAD MEDICARE
NJ121988SNYMedicare PIN
NJ121988S6SMedicare PIN
DC228476Y5KOtherMEDICARE