Provider Demographics
NPI:1003131533
Name:KAPASI, NEEL KISHOR (MD)
Entity Type:Individual
Prefix:
First Name:NEEL
Middle Name:KISHOR
Last Name:KAPASI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1521 S STAPLES ST STE 700
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78404-3160
Mailing Address - Country:US
Mailing Address - Phone:361-888-8271
Mailing Address - Fax:361-880-7858
Practice Address - Street 1:16850 BEAR VALLEY RD STE 105
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395
Practice Address - Country:US
Practice Address - Phone:760-241-8000
Practice Address - Fax:760-241-0201
Is Sole Proprietor?:No
Enumeration Date:2010-03-26
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA131253207R00000X, 207RC0000X
TXS8856207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1003131533Medicaid
WA8918403Medicare PIN