MEDICARE: MICHAEL T CAPPS 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
1	207R00000X	Internal Medicine Physician	200400195	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851314652
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL T CAPPS MD

Provider Business Mailing Address
First Line	:	224 HIGH HOUSE RD
Second Line	:	SUITE 100
City	:	CARY
State	:	NC
Zip	:	27513-4278
Country	:	US
Telephone Number	:	919-380-7531
Fax Number	:	919-380-0686

Provider Business Practice Location Address
First Line	:	224 HIGH HOUSE RD
Second Line	:	SUITE 100
City	:	CARY
State	:	NC
Zip	:	27513-4278
Country	:	US
Telephone Number	:	919-380-7531
Fax Number	:	919-380-0686

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	12/21/2020

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