Provider Demographics
NPI:1164515094
Name:KAPOOR, URVASHI (MD)
Entity Type:Individual
Prefix:DR
First Name:URVASHI
Middle Name:
Last Name:KAPOOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:URVASHI
Other - Middle Name:
Other - Last Name:KAPOOR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PATHOLOGY PC
Mailing Address - Street 1:PO BOX 127
Mailing Address - Street 2:
Mailing Address - City:OLD BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11804-0127
Mailing Address - Country:US
Mailing Address - Phone:516-932-7804
Mailing Address - Fax:516-681-6567
Practice Address - Street 1:888 OLD COUNTRY RD
Practice Address - Street 2:DEPARTMENT OF PATHOLOGY, NSUH @ PLAINVIEW
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-4914
Practice Address - Country:US
Practice Address - Phone:516-719-2289
Practice Address - Fax:516-681-6567
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY152529-1207ZC0500X, 207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology
Not Answered207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
65F891Medicare ID - Type Unspecified