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NPI Code Detail

MEDICARE: DR. NEHA KAPOOR O.D.

MEDICARE:  DR. NEHA  KAPOOR  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist0618002179VA

General Provider Information

NPI Number : 1093063570
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NEHA KAPOOR O.D.
Provider Business Mailing Address
First Line : 43501 JUBILEE ST
Second Line :
City : CHANTILLY
State : VA
Zip : 20152-1744
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 25055 RIDING PLZ
Second Line : SUITE 100
City : CHANTILLY
State : VA
Zip : 20152-5917
Country : US
Telephone Number : 703-957-3384
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2012
Last Update Date : 08/12/2022

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Directions to “ DR. NEHA KAPOOR O.D.” Practice Location

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