Provider Demographics
NPI:1003826926
Name:KAPOOR, DIMPY (MD)
Entity type:Individual
Prefix:DR
First Name:DIMPY
Middle Name:
Last Name:KAPOOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:20118 N 67TH AVE
Mailing Address - Street 2:#300 PMB 456
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-4621
Mailing Address - Country:US
Mailing Address - Phone:623-399-9010
Mailing Address - Fax:623-399-9013
Practice Address - Street 1:9305 W THOMAS RD
Practice Address - Street 2:STE 455
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85037-3328
Practice Address - Country:US
Practice Address - Phone:623-399-9010
Practice Address - Fax:623-399-9013
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ28711207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ105040Medicare PIN
AZZ105039Medicare PIN
AZH63252Medicare UPIN