Provider Demographics
NPI:1437221611
Name:KAPOOR, NIMMI SINGH (MD)
Entity Type:Individual
Prefix:DR
First Name:NIMMI
Middle Name:SINGH
Last Name:KAPOOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:NIMMI
Other - Middle Name:
Other - Last Name:ARORA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5767 W CENTURY BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-5631
Mailing Address - Country:US
Mailing Address - Phone:310-301-8707
Mailing Address - Fax:
Practice Address - Street 1:15503 VENTURA BLVD STE 150
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-3115
Practice Address - Country:US
Practice Address - Phone:818-783-0004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1162582086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology