Provider Demographics
NPI:1427294339
Name:KAPOGIANNIS, DIMITRIOS (MD)
Entity type:Individual
Prefix:DR
First Name:DIMITRIOS
Middle Name:
Last Name:KAPOGIANNIS
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 1:3001 S HANOVER ST
Mailing Address - Street 2:5TH FLOOR (NIH/NIA/CRB)
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21225-1233
Mailing Address - Country:US
Mailing Address - Phone:410-350-3953
Mailing Address - Fax:410-350-7308
Practice Address - Street 1:3001 S HANOVER ST
Practice Address - Street 2:5TH FLOOR (NIH/NIA/CRB)
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21225-1233
Practice Address - Country:US
Practice Address - Phone:410-350-3953
Practice Address - Fax:410-350-7308
Is Sole Proprietor?:No
Enumeration Date:2008-12-23
Last Update Date:2009-01-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCMD0363132084N0400X
MDD00685182084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology