Provider Demographics
NPI:1033224985
Name:KAPUR, RAMAN (MD)
Entity Type:Individual
Prefix:
First Name:RAMAN
Middle Name:
Last Name:KAPUR
Suffix:
Gender:F
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:PO BOX 2084
Mailing Address - Street 2:
Mailing Address - City:MERRIFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22116
Mailing Address - Country:US
Mailing Address - Phone:703-899-4785
Mailing Address - Fax:703-242-7848
Practice Address - Street 1:10810 DARNSTOWN RD
Practice Address - Street 2:SUITE 202
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878
Practice Address - Country:US
Practice Address - Phone:703-899-4785
Practice Address - Fax:703-242-7848
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101052229208100000X
MDD0036800208100000X
DCMD17306208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006803253Medicaid
MD204241003Medicaid
MD204241003Medicaid
E63730Medicare UPIN