Provider Demographics
NPI:1386605442
Name:KAIP, SHERWOOD R (MD)
Entity type:Individual
Prefix:DR
First Name:SHERWOOD
Middle Name:R
Last Name:KAIP
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 1:1204 TURNBERRY RD
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-2036
Mailing Address - Country:US
Mailing Address - Phone:915-584-0620
Mailing Address - Fax:
Practice Address - Street 1:1204 TURNBERRY RD
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-2036
Practice Address - Country:US
Practice Address - Phone:915-584-0620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-29
Last Update Date:2007-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXC9298207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB23820Medicare UPIN