PRANAV KAPOOR (NPI# 1972868198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972868198 |
| Entity Type | Individual |
| Full Name | PRANAV KAPOOR |
| Credential | MD |
| Practice Address |
400 Saybrook Rd Suite 205 Middletown CT 06457-4773 |
| Mailing Address |
3 Farm Glen Blvd Farmington CT 06032-1981 |
| Practice Telephone | 8603467738 |
| Practice Fax Number | 8603472097 |
| Mailing Telephone | 8602845200 |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2020-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 55546 | CT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | CT | Student, Health Care |
| Street Address |
400 SAYBROOK RD SUITE 205 |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-4773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235110354 | Roger D Luskind | Ophthalmology | 400 Saybrook Rd, Suite 100, Middletown, CT 06457-4773 | 2005-11-07 |
| 1386115806 | Rachel Mazzola | Nurse Practitioner | 400 Saybrook Rd, Middletown, CT 06457-4773 | 2018-12-10 |
| 1801137039 | Courtney Rose Whittle | Physician Assistant | 400 Saybrook Rd, Suite 205, Middletown, CT 06457-4773 | 2013-03-13 |
| 1053663112 | Tamscot Yap | Optometrist | 400 Saybrook Rd, Middletown, CT 06457-4773 | 2012-10-12 |
| 1760790968 | Mary Suzanne Izzo | Dietitian, Registered | 400 Saybrook Rd, Suite 110, Middletown, CT 06457-4773 | 2010-09-22 |
| 1356576128 | Kari Edelson | Pediatrics | 400 Saybrook Rd, Suite 206, Middletown, CT 06457-4773 | 2009-05-22 |
| 1770721862 | Barbara L Hughes | Counselor | 400 Saybrook Rd, Middletown, CT 06457-4773 | 2009-01-27 |
| 1801083498 | Kittie Lee Spedding | Dietitian, Registered | 400 Saybrook Rd, Suite 110, Middletown, CT 06457-4773 | 2007-09-27 |
| 1437375920 | Elizabeth Joslow Archambault | Dietitian, Registered | 400 Saybrook Rd, Shoreline Surgical Associates Suite 110, Middletown, CT 06457 | 2007-04-17 |
| 1699893925 | Shoreline Surgical Assoc. P.C. | Surgery | 400 Saybrook Rd, Suite 110, Middletown, CT 06457 | 2007-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932748746 | Khalilah Williams-perry | Family Medicine | 20 Tammy Dr, Middletown, NY 10941-2052 | 2019-12-26 |
| 1215593611 | Northern Medical Center, Inc | Family Medicine | 14 Jason Place, Suite 201, Middletown, NY 10940 | 2019-05-13 |
| 1841787652 | Southcoast Physicians Group, Inc. | Family Medicine | 670 Aquidneck Avenue, Middletown, RI 02841 | 2018-04-17 |
| 1952832164 | Emmet Theodore Fenichel | Family Medicine | 18 Leonardville Rd, Middletown, NJ 07748-2311 | 2017-03-21 |
| 1346604774 | Austin James Williams | Family Medicine | 6147 State Route 122, Ste 200, Middletown, OH 45005-5201 | 2016-04-12 |
| 1174965412 | Home Medical Office, P.C. | Family Medicine | 18 Orchard St Ste 100, Middletown, NY 10940-5005 | 2013-07-29 |
| 1801121991 | Pamela Jean Hanson | Family Medicine | 4421 Roosevelt Blvd Ste A, Middletown, OH 45044-9024 | 2009-10-07 |
| 1053542068 | Jenny Q. Lu, M.d., Pllc | Family Medicine | 75 Crystal Run Rd Ste 105, Middletown, NY 10941-7003 | 2009-08-07 |
| 1396974556 | Mvhe Inc | Family Medicine | 253 N Breiel Blvd, Middletown, OH 45042-3807 | 2009-07-09 |
| 1073794665 | Zoila Cartaya | Family Medicine | 345 Stony Ford Rd, Middletown, NY 10941-3952 | 2007-11-25 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.