Provider Demographics
NPI:1700973484
Name:KAPOOR, SURRINDER S (MD)
Entity type:Individual
Prefix:
First Name:SURRINDER
Middle Name:S
Last Name:KAPOOR
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 1:5916 MORGANS WAY
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-3121
Mailing Address - Country:US
Mailing Address - Phone:443-944-8080
Mailing Address - Fax:443-944-8080
Practice Address - Street 1:224 PHILLIP MORRIS DR STE 404
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-1964
Practice Address - Country:US
Practice Address - Phone:443-944-8080
Practice Address - Fax:443-944-8080
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00527662084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD141675OtherVALUE OPTIONS
MD522156095OtherUNITED BEHAVIORAL HEALTH
MD522156095OtherAETNA
576618OtherUNITED HEALTH CARE MAMSI
MD259147000OtherMAGELLAN GROUP
5221560950001OtherTRICARE
MDLM49EAOtherCAREFIRST BCBS GROUP
0002OtherCAREFIRST FEDERAL PIN DC
100026410OtherAMERICAN PSYCH SYSTEM
MD252972000OtherMAGELLAN PIN
R968OtherCARE1ST FEDERAL GROUP DC
517251OtherUHC MAMSI GROUP #
MD609550001Medicaid
MD609550002Medicaid
MD85070704OtherCAREFIRST BCBS PIN
MD609550004Medicaid
733634OtherNCPPO PIN
576618OtherUNITED HEALTH CARE MAMSI
G73112Medicare UPIN
5221560950001OtherTRICARE