Provider Demographics
NPI:1104169028
Name:KAPOOR, KARAN (MD)
Entity type:Individual
Prefix:
First Name:KARAN
Middle Name:
Last Name:KAPOOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 SOUTH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-6455
Mailing Address - Country:US
Mailing Address - Phone:973-267-3944
Mailing Address - Fax:973-455-0399
Practice Address - Street 1:435 SOUTH ST STE 100
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6455
Practice Address - Country:US
Practice Address - Phone:973-267-3944
Practice Address - Fax:973-455-0399
Is Sole Proprietor?:No
Enumeration Date:2013-03-28
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD81330207RC0000X
PAMD473680207RC0000X
NJ25MA12033000207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease