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NPI Code Detail

MEDICARE: DR. TRINA KAYEUM CAPELLI MD

MEDICARE: DR. TRINA KAYEUM CAPELLI MD
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
1208600000XSurgery Physician036.178706IL

General Provider Information

NPI Number : 1528645686
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TRINA KAYEUM CAPELLI MD
Provider Business Mailing Address
First Line : 3231 16TH ST
Second Line :
City : KENOSHA
State : WI
Zip : 53144-3359
Country : US
Telephone Number : 262-412-9328
Fax Number :
Provider Business Practice Location Address
First Line : 119 OAKFIELD DR
Second Line :
City : BRANDON
State : FL
Zip : 33511-5779
Country : US
Telephone Number : 813-681-5551
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2021
Last Update Date : 03/18/2026

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