Provider Demographics
NPI:1477548444
Name:KAPOOR, RAJESHWAR DAYAL (MD)
Entity Type:Individual
Prefix:
First Name:RAJESHWAR
Middle Name:DAYAL
Last Name:KAPOOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:624 WHISPERING PINES DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-1947
Mailing Address - Country:US
Mailing Address - Phone:412-965-8104
Mailing Address - Fax:412-967-9393
Practice Address - Street 1:624 WHISPERING PINES DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-1947
Practice Address - Country:US
Practice Address - Phone:412-965-8104
Practice Address - Fax:412-967-9393
Is Sole Proprietor?:No
Enumeration Date:2005-09-15
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD019832E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA011284690001Medicaid
PA011284690001Medicaid
C31933Medicare UPIN