Provider Demographics
NPI:1083959175
Name:CAPITAL AREA PRIMARY CARE LLC
Entity Type:Organization
Organization Name:CAPITAL AREA PRIMARY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARUNA
Authorized Official - Middle Name:K
Authorized Official - Last Name:PASPULA
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:301-679-6011
Mailing Address - Street 1:18404 OXFORDSHIRE TER
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-3121
Mailing Address - Country:US
Mailing Address - Phone:301-679-6011
Mailing Address - Fax:301-460-7867
Practice Address - Street 1:4700 BERWYN HOUSE RD
Practice Address - Street 2:SUITE 108
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20740-4706
Practice Address - Country:US
Practice Address - Phone:301-679-6011
Practice Address - Fax:301-460-7867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-30
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD60999207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty