Provider Demographics
NPI:1497169593
Name:KAPUR, DEEPAK
Entity Type:Individual
Prefix:
First Name:DEEPAK
Middle Name:
Last Name:KAPUR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5210 INDIAN HEAD HWY
Mailing Address - Street 2:UNIT 1RR
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-2048
Mailing Address - Country:US
Mailing Address - Phone:844-433-3725
Mailing Address - Fax:844-833-9445
Practice Address - Street 1:5210 INDIAN HEAD HWY
Practice Address - Street 2:UNIT 1RR
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-2048
Practice Address - Country:US
Practice Address - Phone:844-433-3725
Practice Address - Fax:844-833-9445
Is Sole Proprietor?:No
Enumeration Date:2014-06-17
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD19311183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist