Provider Demographics
NPI:1700844701
Name:KAPOOR, AARTI (MD)
Entity Type:Individual
Prefix:
First Name:AARTI
Middle Name:
Last Name:KAPOOR
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 1:10527 BRADDOCK RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22032-2247
Mailing Address - Country:US
Mailing Address - Phone:703-425-3300
Mailing Address - Fax:703-323-3950
Practice Address - Street 1:10527 BRADDOCK RD
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22032-2247
Practice Address - Country:US
Practice Address - Phone:703-425-3300
Practice Address - Fax:703-323-3950
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101238157208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA10183464Medicaid
VA10233801Medicaid
VA10183375Medicaid
VA10183430Medicaid