Provider Demographics
NPI:1639144926
Name:KAPUR, GAYATRI (MD)
Entity Type:Individual
Prefix:
First Name:GAYATRI
Middle Name:
Last Name:KAPUR
Suffix:
Gender:F
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:PO BOX 936
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23501-0936
Mailing Address - Country:US
Mailing Address - Phone:757-446-7900
Mailing Address - Fax:757-446-8907
Practice Address - Street 1:2075 GLENN MITCHELL DR STE 500
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-0179
Practice Address - Country:US
Practice Address - Phone:757-446-7900
Practice Address - Fax:757-446-8907
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101230621207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA217679OtherANTHEM
VA288763OtherUHC/MAMSI
VAPAROtherAETNA
VA-010OtherTRICARE/CHAMPUS
VA36564OtherSENTARA OPTIMA
VAPAROtherCIGNA
VAPAROtherVIRGINIA HEALTH NETWORK
NC89064A0Medicaid
VAPAROtherCORVEL/CORCARE
VAPAROtherVIRGINIA PREMIER HEALTH
VAPAROtherMULTIPLAN
NC064A0OtherBC/BS
VAPAROtherFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
VAPAROtherUSA MANAGED CARE
VA006204147Medicaid
VA-010OtherTRICARE/CHAMPUS
VAPAROtherCIGNA
VAG27038Medicare UPIN