Provider Demographics
NPI:1043466022
Name:KAPKOV, DENIS VALENTIN (MD)
Entity Type:Individual
Prefix:
First Name:DENIS
Middle Name:VALENTIN
Last Name:KAPKOV
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 WINSTON DR APT 1004
Mailing Address - Street 2:
Mailing Address - City:CLIFFSIDE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07010-3216
Mailing Address - Country:US
Mailing Address - Phone:215-405-0992
Mailing Address - Fax:201-224-0992
Practice Address - Street 1:300 WINSTON DR APT 1004
Practice Address - Street 2:
Practice Address - City:CLIFFSIDE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07010-3216
Practice Address - Country:US
Practice Address - Phone:215-405-0992
Practice Address - Fax:201-224-0992
Is Sole Proprietor?:No
Enumeration Date:2008-08-11
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08891600207R00000X
CT049163207R00000X
PAMT194021207R00000X
MEMD21760207R00000X
NY241725207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine