Healthcare Provider Details

I. General information

NPI: 1316945579
Provider Name (Legal Business Name): MUNIR KAPASI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2005
Last Update Date: 05/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 PEACHTREE DUNWOODY RD NE SUITE B-420
ATLANTA GA
30328-5382
US

IV. Provider business mailing address

5901 PEACHTREE DUNWOODY RD NE SUITE B-420
ATLANTA GA
30328-5382
US

V. Phone/Fax

Practice location:
  • Phone: 404-252-9751
  • Fax: 678-990-5763
Mailing address:
  • Phone: 404-252-9751
  • Fax: 678-990-5763

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number051149
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: