Provider Demographics
NPI:1851986160
Name:KAPILA INTERNAL MEDICINE ASSOCIATES
Entity Type:Organization
Organization Name:KAPILA INTERNAL MEDICINE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABHISHEK
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPILA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-558-8436
Mailing Address - Street 1:1526 CHAMPION LAKES PL
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KS
Mailing Address - Zip Code:40245
Mailing Address - Country:US
Mailing Address - Phone:502-558-8436
Mailing Address - Fax:502-587-0060
Practice Address - Street 1:1313 SAINT ANTHONY PL
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40204-1740
Practice Address - Country:US
Practice Address - Phone:502-558-8436
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-08
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty