Provider Demographics
NPI:1386705937
Name:KAPUR, GIRISH BOBBY (MD MPH)
Entity type:Individual
Prefix:
First Name:GIRISH
Middle Name:BOBBY
Last Name:KAPUR
Suffix:
Gender:M
Credentials:MD MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611 NW 12TH AVE
Mailing Address - Street 2:EMERGENCY CENTER
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1005
Mailing Address - Country:US
Mailing Address - Phone:305-585-6913
Mailing Address - Fax:305-585-0000
Practice Address - Street 1:1611 NW 12TH AVE
Practice Address - Street 2:EMERGENCY CENTER
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1005
Practice Address - Country:US
Practice Address - Phone:305-585-6913
Practice Address - Fax:305-585-0000
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2015-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD035094207P00000X
TXN2589207P00000X
FL126234207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD405974300Medicaid
VA010118191Medicaid
DC036052500Medicaid
DC015242M83Medicare ID - Type Unspecified
MD405974300Medicaid
VA010118191Medicaid