Provider Demographics
NPI:1033253471
Name:KOPACK, ANGELA M (MD)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:M
Last Name:KOPACK
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Gender:F
Credentials:MD
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Mailing Address - Street 1:11055 LITTLE PATUXENT PKWY
Mailing Address - Street 2:SUITE 209
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-2896
Mailing Address - Country:US
Mailing Address - Phone:410-884-1311
Mailing Address - Fax:410-884-6033
Practice Address - Street 1:11055 LITTLE PATUXENT PKWY
Practice Address - Street 2:SUITE 209
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-2896
Practice Address - Country:US
Practice Address - Phone:410-884-1311
Practice Address - Fax:410-884-6033
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2009-06-28
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Provider Licenses
StateLicense IDTaxonomies
MDD0068536207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease