Provider Demographics
NPI:1194091488
Name:CAPPELLETI, GIACOMO LUIS (MD)
Entity type:Individual
Prefix:DR
First Name:GIACOMO
Middle Name:LUIS
Last Name:CAPPELLETI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:GIACOMO
Other - Middle Name:L
Other - Last Name:CAPPELLETI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:844 KEMPSVILLE RD STE 104
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-3927
Mailing Address - Country:US
Mailing Address - Phone:757-252-5600
Mailing Address - Fax:
Practice Address - Street 1:844 KEMPSVILLE RD STE 104
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-3927
Practice Address - Country:US
Practice Address - Phone:757-252-5600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-30
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME135391207XS0106X
VA0101276610207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery