Provider Demographics
NPI:1447432273
Name:KAPOOR, VANITA (PA-C)
Entity Type:Individual
Prefix:
First Name:VANITA
Middle Name:
Last Name:KAPOOR
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7700 UNIVERSITY CT
Mailing Address - Street 2:SUITE 3100
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-6542
Mailing Address - Country:US
Mailing Address - Phone:513-475-8268
Mailing Address - Fax:513-475-8269
Practice Address - Street 1:7700 UNIVERSITY CT
Practice Address - Street 2:SUITE 3100
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-6542
Practice Address - Country:US
Practice Address - Phone:513-475-8268
Practice Address - Fax:513-475-8269
Is Sole Proprietor?:No
Enumeration Date:2007-12-04
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL085-002441363AM0700X
OH50.002914363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK49916Medicare PIN