Healthcare Provider Details

I. General information

NPI: 1730061342
Provider Name (Legal Business Name): MANDEEP KAPUR, MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2025
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15732 LOS GATOS BLVD # 626
LOS GATOS CA
95032-2504
US

IV. Provider business mailing address

15732 LOS GATOS BLVD # 626
LOS GATOS CA
95032-2504
US

V. Phone/Fax

Practice location:
  • Phone: 408-320-7626
  • Fax:
Mailing address:
  • Phone: 408-320-7626
  • Fax: 419-216-4847

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MANDEEP KAPUR
Title or Position: CEO
Credential: MD
Phone: 408-320-7626