Provider Demographics
NPI:1598588709
Name:CAPITAL SPORTS MEDICINE
Entity type:Organization
Organization Name:CAPITAL SPORTS MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GOBINDVEER
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:SAHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:612-616-9669
Mailing Address - Street 1:6820 MORNING BROOK TER
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22315-6117
Mailing Address - Country:US
Mailing Address - Phone:612-616-9669
Mailing Address - Fax:
Practice Address - Street 1:6820 MORNING BROOK TER
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22315-6117
Practice Address - Country:US
Practice Address - Phone:612-616-9669
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-05
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports MedicineGroup - Multi-Specialty
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty