Provider Demographics
NPI:1063035459
Name:CAPITOL HEALTHCARE INC
Entity Type:Organization
Organization Name:CAPITOL HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MALIHA
Authorized Official - Middle Name:
Authorized Official - Last Name:AGLORIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-309-1595
Mailing Address - Street 1:9766 WATERMAN RD STE L2
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95624-9472
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9766 WATERMAN RD STE L2
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95624-9472
Practice Address - Country:US
Practice Address - Phone:916-667-3876
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-20
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Single Specialty