Provider Demographics
NPI:1184794968
Name:KAPELOVITZ, LEONARD H (MD)
Entity type:Individual
Prefix:
First Name:LEONARD
Middle Name:H
Last Name:KAPELOVITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4770 E ILIFF AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-6049
Mailing Address - Country:US
Mailing Address - Phone:303-771-5174
Mailing Address - Fax:303-757-7994
Practice Address - Street 1:4770 E ILIFF AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-6049
Practice Address - Country:US
Practice Address - Phone:303-771-5174
Practice Address - Fax:303-757-7994
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO162522084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO47691Medicare ID - Type Unspecified
D28172Medicare UPIN