Provider Demographics
NPI:1265510796
Name:LOTUN, KAPILDEO (MD)
Entity Type:Individual
Prefix:
First Name:KAPILDEO
Middle Name:
Last Name:LOTUN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:445 N SILVERBELL RD STE 202
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745-2686
Mailing Address - Country:US
Mailing Address - Phone:520-872-7238
Mailing Address - Fax:520-872-7638
Practice Address - Street 1:1501 N CAMPBELL AVE
Practice Address - Street 2:SARVER HEART CENTER
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85724-0001
Practice Address - Country:US
Practice Address - Phone:520-626-1350
Practice Address - Fax:520-626-2376
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2019-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ45090207RI0011X
VA0101244332207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology