Provider Demographics
NPI:1518988104
Name:KAPOOR, BRIJESH (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIJESH
Middle Name:
Last Name:KAPOOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:16620 N US HIGHWAY 281
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-2327
Mailing Address - Country:US
Mailing Address - Phone:210-614-1231
Mailing Address - Fax:210-616-0704
Practice Address - Street 1:11481 TOEPPERWEIN RD
Practice Address - Street 2:SUITE 1202
Practice Address - City:LIVE OAK
Practice Address - State:TX
Practice Address - Zip Code:78233-3145
Practice Address - Country:US
Practice Address - Phone:210-655-8470
Practice Address - Fax:210-967-0276
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM7316207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8J6713OtherMEDIARE PTAN
TX8J6713OtherMEDIARE PTAN