Provider Demographics
NPI:1629170337
Name:NAPORA, CASIMIR (MD)
Entity Type:Individual
Prefix:
First Name:CASIMIR
Middle Name:
Last Name:NAPORA
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 1:2463 PRUDEN BLVD
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-4235
Mailing Address - Country:US
Mailing Address - Phone:757-925-1136
Mailing Address - Fax:
Practice Address - Street 1:2463 PRUDEN BLVD
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-4235
Practice Address - Country:US
Practice Address - Phone:757-925-1136
Practice Address - Fax:757-925-0353
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2009-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101054964174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist