Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | D0065617 | MD |
N | 111NI0900X | Internist | D0065617 | MD |
N | 207RI0200X | Infectious Disease | D0065617 | MD |
N | 208000000X | Pediatrician | D0065617 | MD |
Y | 2080P0208X | Pediatric Infectious Diseases | D0065617 | MD |
NPI | 1407038524 |
---|---|
Provider Name | Dr. Bill G Kapogiannis |
First Address | Rockville, MD 20852-3902 |
Second Address | Baltimore, MD 21287-0011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2007 |
Last Update Date | 30/11/2007 |