Healthcare Provider Details

I. General information

NPI: 1477548444
Provider Name (Legal Business Name): RAJESHWAR DAYAL KAPOOR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2005
Last Update Date: 03/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

624 WHISPERING PINES DR
PITTSBURGH PA
15238-1947
US

IV. Provider business mailing address

624 WHISPERING PINES DR
PITTSBURGH PA
15238-1947
US

V. Phone/Fax

Practice location:
  • Phone: 412-965-8104
  • Fax: 412-967-9393
Mailing address:
  • Phone: 412-965-8104
  • Fax: 412-967-9393

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD019832E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: