Provider Demographics
NPI:1801908553
Name:KAPUR-PADO, RANI (DO)
Entity type:Individual
Prefix:
First Name:RANI
Middle Name:
Last Name:KAPUR-PADO
Suffix:
Gender:F
Credentials:DO
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 38
Mailing Address - Street 2:RANI KAPUR-PADO DO LLC
Mailing Address - City:SIDNEY
Mailing Address - State:NY
Mailing Address - Zip Code:13838
Mailing Address - Country:US
Mailing Address - Phone:607-563-3333
Mailing Address - Fax:607-563-3336
Practice Address - Street 1:43 PEARL STREET
Practice Address - Street 2:2ND FL SUITE 1A RANI KAPUR-PADO DO LLC
Practice Address - City:SIDNEY
Practice Address - State:NY
Practice Address - Zip Code:13838
Practice Address - Country:US
Practice Address - Phone:607-563-3333
Practice Address - Fax:607-563-3336
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY195487207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
608942OtherMEDICARE
NY01735877Medicaid
NY60B942Medicare ID - Type Unspecified
G47938Medicare UPIN