Provider Demographics
NPI:1154586378
Name:KOPP, JEFFREY BURNETT (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:BURNETT
Last Name:KOPP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5510 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-3354
Mailing Address - Country:US
Mailing Address - Phone:301-594-3403
Mailing Address - Fax:301-402-0014
Practice Address - Street 1:10 CENTER DR, NIH
Practice Address - Street 2:BDG 10, 3N116
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-1268
Practice Address - Country:US
Practice Address - Phone:301-594-3403
Practice Address - Fax:301-402-0014
Is Sole Proprietor?:No
Enumeration Date:2008-07-28
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0038010207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology