# DIMITRI COUPET MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coupet Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841944345
- **Authorized official:** DR. DIMITRI COUPET MD (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (516) 849-7821

## Contact information

- **Practice address:** 14201 LAUREL PARK DR STE 106, LAUREL, MD 20707-5203
- **Practice address phone:** (240) 264-6595
- **Practice address fax:** (240) 360-5934
- **Mailing address:** 14201 LAUREL PARK DR STE 106, LAUREL, MD 20707-5203
- **Mailing address phone:** (240) 264-6595
- **Mailing address fax:** (240) 360-5934

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/04/2022
- **Last updated:** 02/21/2024