Healthcare Provider Details

I. General information

NPI: 1801908553
Provider Name (Legal Business Name): RANI KAPUR-PADO D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 02/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 PEARL STREET 2ND FL SUITE 1A RANI KAPUR-PADO DO LLC
SIDNEY NY
13838
US

IV. Provider business mailing address

PO BOX 38 RANI KAPUR-PADO DO LLC
SIDNEY NY
13838
US

V. Phone/Fax

Practice location:
  • Phone: 607-563-3333
  • Fax: 607-563-3336
Mailing address:
  • Phone: 607-563-3333
  • Fax: 607-563-3336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number195487
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: