Provider Demographics
NPI:1306041538
Name:KAPOOR, DIPALI S (MD)
Entity Type:Individual
Prefix:
First Name:DIPALI
Middle Name:S
Last Name:KAPOOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2595 DALLAS PKWY
Mailing Address - Street 2:SUITE 405
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-8527
Mailing Address - Country:US
Mailing Address - Phone:972-377-1490
Mailing Address - Fax:972-377-1499
Practice Address - Street 1:2595 DALLAS PKWY
Practice Address - Street 2:SUITE 405
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-8527
Practice Address - Country:US
Practice Address - Phone:972-377-1490
Practice Address - Fax:972-377-1499
Is Sole Proprietor?:No
Enumeration Date:2007-06-18
Last Update Date:2013-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036110145207RR0500X
TXM7317207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX192424301Medicaid
TX192424302OtherMEDICAID OTHER
TXP00478960OtherRAILROAD MEDICARE
TX192424301Medicaid
TX192424302OtherMEDICAID OTHER