MEDICARE: DR. SHRUTI G. KAPOOR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208VP0000X	Pain Medicine Physician	35.126813	OH
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	35.126813	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285836171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHRUTI G. KAPOOR MD

Provider Business Mailing Address
First Line	:	PO BOX 7527
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43017-0727
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3663 RIDGE MILL DR
Second Line	:	SUITE 100
City	:	HILLIARD
State	:	OH
Zip	:	43026-7799
Country	:	US
Telephone Number	:	614-788-4440
Fax Number	:	614-788-4459

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2007
Last Update Date	:	11/16/2022

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Directions to “ DR. SHRUTI G. KAPOOR MD” Practice Location

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