Provider Demographics
NPI:1073557203
Name:KAPUR, VINEET (MD)
Entity Type:Individual
Prefix:DR
First Name:VINEET
Middle Name:
Last Name:KAPUR
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 1:751 LAUREL ST
Mailing Address - Street 2:#442
Mailing Address - City:SAN CARLOS
Mailing Address - State:CA
Mailing Address - Zip Code:94070-3113
Mailing Address - Country:US
Mailing Address - Phone:650-292-2437
Mailing Address - Fax:650-292-2437
Practice Address - Street 1:751 LAUREL ST # 442
Practice Address - Street 2:
Practice Address - City:SAN CARLOS
Practice Address - State:CA
Practice Address - Zip Code:94070-3113
Practice Address - Country:US
Practice Address - Phone:650-292-2437
Practice Address - Fax:650-292-2437
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2016-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00A688230207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH28591Medicare UPIN
CA00A688230Medicare ID - Type Unspecified