Healthcare Provider Details

I. General information

NPI: 1851303689
Provider Name (Legal Business Name): HIROO KAPUR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HIROO MADNANI MD

II. Dates (important events)

Enumeration Date: 08/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2230 ASHLEY OAKS CIR SUITE 102
WESLEY CHAPEL FL
33543-7029
US

IV. Provider business mailing address

2609 NIGHT RAINS DR
LUTZ FL
33559-7384
US

V. Phone/Fax

Practice location:
  • Phone: 813-973-2500
  • Fax: 813-973-4438
Mailing address:
  • Phone: 813-746-5559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME91001
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: