Provider Demographics
NPI:1417373820
Name:KAPOOR, RITU (NP)
Entity Type:Individual
Prefix:MRS
First Name:RITU
Middle Name:
Last Name:KAPOOR
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3330 PEACHTREE CORNERS CIR
Mailing Address - Street 2:SUITE H
Mailing Address - City:PEACHTREE CORNERS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-3695
Mailing Address - Country:US
Mailing Address - Phone:678-775-9344
Mailing Address - Fax:678-775-9344
Practice Address - Street 1:3330 PEACHTREE CORNERS CIR
Practice Address - Street 2:SUITE H
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30092-3695
Practice Address - Country:US
Practice Address - Phone:678-775-9344
Practice Address - Fax:678-775-9344
Is Sole Proprietor?:No
Enumeration Date:2014-03-10
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN226485363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily