Healthcare Provider Details

I. General information

NPI: 1265483473
Provider Name (Legal Business Name): TRINA KAPOOR FRANKEL D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 07/10/2020
Certification Date: 07/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2360 W JOPPA RD SUITE 306
LUTHERVILLE MD
21093-4624
US

IV. Provider business mailing address

7600 OSLER DR STE 202
TOWSON MD
21204-7701
US

V. Phone/Fax

Practice location:
  • Phone: 410-847-3535
  • Fax: 410-847-3533
Mailing address:
  • Phone: 410-296-4040
  • Fax: 410-296-4114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberH0058598
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: