NPI 1396108502 · live from the CMS NPI Registry
Rajdeep Kapoor
Radiology, Diagnostic Radiology in Gainesville, GA. National Provider Identifier 1396108502, active.
NPI record
| NPI | 1396108502 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 743 Spring St Ne, Gainesville, GA 30501 |
| Practice phone | 770-219-9000 |
| Mailing address | 200 W Academy St Nw, Gainesville, GA 30501 |
| Enumerated | April 4, 2016 |
| Last updated | May 16, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | 281351 (MA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Radiology, Diagnostic Radiology primary | 2085R0202X | 91981 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.