Individual
DR. LOUIS E KOPOLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8915 SHADY GROVE CT, GAITHERSBURG, MD 20877-1308
(301) 963-0060
(301) 258-7482
Mailing address
6216 PERTHSHIRE CT, BETHESDA, MD 20817-3348
(301) 897-7363
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0016788
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48683
MAMSI
MD
Enumeration date
06/21/2005
Last updated
12/27/2007
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