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Contact Information

CHANDA KAPUR, MD
2636 EASTERN AVE
PLYMOUTH, WI53073
 Phone: 920-893-4010
 Fax: 920-459-1107
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CHANDA KAPUR · (Female)

NPI Number 1487761912
Status Active
Credentials MD
Entity Individual
Enumeration date 08/23/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 19885
  • WI Medicaid 31195100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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