Provider Demographics
NPI:1326100561
Name:KAPASI, CHANDER M (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:CHANDER
Middle Name:M
Last Name:KAPASI
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:DEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02026-1765
Mailing Address - Country:US
Mailing Address - Phone:781-326-0077
Mailing Address - Fax:781-326-4300
Practice Address - Street 1:80 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:DEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02026-1765
Practice Address - Country:US
Practice Address - Phone:781-326-0077
Practice Address - Fax:781-326-4300
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI39392207QA0401X
MA39392207QS0010X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology