Provider Demographics
NPI:1588610034
Name:KAPOOR, RAMA (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMA
Middle Name:
Last Name:KAPOOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RAMA
Other - Middle Name:
Other - Last Name:AGARWAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MBBS
Mailing Address - Street 1:501 E BROADWAY
Mailing Address - Street 2:STE. 290
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-1785
Mailing Address - Country:US
Mailing Address - Phone:502-217-8221
Mailing Address - Fax:502-217-5056
Practice Address - Street 1:401 E CHESTNUT ST UNIT 310
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-5703
Practice Address - Country:US
Practice Address - Phone:502-584-8563
Practice Address - Fax:502-589-5093
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY41641207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY50028260OtherPASSPORT
KY7100113620Medicaid
KY7100113620Medicaid
KY50028260OtherPASSPORT