Provider Demographics
NPI:1700867611
Name:KAPILA, SNEH (MD)
Entity Type:Individual
Prefix:DR
First Name:SNEH
Middle Name:
Last Name:KAPILA
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 1:4631 N CONGRESS AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-3209
Mailing Address - Country:US
Mailing Address - Phone:561-494-0589
Mailing Address - Fax:
Practice Address - Street 1:4631 N CONGRESS AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-3209
Practice Address - Country:US
Practice Address - Phone:561-494-0589
Practice Address - Fax:561-494-0613
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-08
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00384022084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL066012400Medicaid
FLD63593Medicare UPIN
FL066012400Medicaid