| Coupet Family Medicine | |
|
14201 Laurel Park Dr Ste 106 Laurel MD 20707-5203 | |
| (240) 264-6595 | |
| (240) 360-5934 |
| Full Name | Coupet Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 14201 Laurel Park Dr Ste 106, Laurel, Maryland |
| Authorized Official Name and Position | Dimitri Coupet (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5168497821 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coupet Family Medicine 14201 Laurel Park Dr Ste 106 Laurel MD 20707-5203 Ph: (240) 264-6595 | Coupet Family Medicine 14201 Laurel Park Dr Ste 106 Laurel MD 20707-5203 Ph: (240) 264-6595 |
| NPI Number | 1841944345 |
|---|---|
| Provider Enumeration Date | 02/04/2022 |
| Last Update Date | 02/21/2024 |
| Certification Date | 02/21/2024 |
| Medicare PECOS PAC ID | 9335533389 |
|---|---|
| Medicare Enrollment ID | O20220308002132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841944345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Dimitri Coupet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649698200 PECOS PAC ID: 2365744620 Enrollment ID: I20190226000401 |
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