| Sangeeta Kapoor, Pllc | |
|
2109 Club Vista Pl Louisville KY 40245-5224 | |
| (502) 523-0719 | |
| (812) 610-8181 |
| Full Name | Sangeeta Kapoor, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2109 Club Vista Pl, Louisville, Kentucky |
| Authorized Official Name and Position | Sangeeta Kapoor (PHYSICIAN/OWNER) |
| Authorized Official Contact | 5025439124 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sangeeta Kapoor, Pllc 2109 Club Vista Pl Louisville KY 40245-5224 Ph: (502) 523-0719 | Sangeeta Kapoor, Pllc 2109 Club Vista Pl Louisville KY 40245-5224 Ph: (502) 523-0719 |
| NPI Number | 1164752184 |
|---|---|
| Provider Enumeration Date | 01/14/2010 |
| Last Update Date | 04/24/2023 |
| Medicare PECOS PAC ID | 4183751373 |
|---|---|
| Medicare Enrollment ID | O20100420000476 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164752184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 38469 (Kentucky) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 3009429 (Kentucky) | Secondary |
| Provider Name | Sangeeta Kapoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356382972 PECOS PAC ID: 1557343241 Enrollment ID: I20040605000249 |
| Provider Name | Shannon Gagliardi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063706075 PECOS PAC ID: 6406024793 Enrollment ID: I20110712000136 |
| Provider Name | Kathleen Tierney Lanham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295388221 PECOS PAC ID: 0244562429 Enrollment ID: I20191022001172 |
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