Provider Demographics
NPI:1093081903
Name:KAPILA, ASHISH (DPM)
Entity Type:Individual
Prefix:DR
First Name:ASHISH
Middle Name:
Last Name:KAPILA
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3875 AUSTELL RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:AUSTELL
Mailing Address - State:GA
Mailing Address - Zip Code:30106-1103
Mailing Address - Country:US
Mailing Address - Phone:770-819-1777
Mailing Address - Fax:770-819-1730
Practice Address - Street 1:WELLSTAR PODIATRY
Practice Address - Street 2:4441 ATLANTA RD SE SUITE 215
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080
Practice Address - Country:US
Practice Address - Phone:470-956-4165
Practice Address - Fax:678-842-5546
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-25
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPO 3531213E00000X
GAPOD001217213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist