Provider Demographics
NPI:1730717307
Name:KAPS, ZOE M (MD)
Entity type:Individual
Prefix:DR
First Name:ZOE
Middle Name:M
Last Name:KAPS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:ZOE
Other - Middle Name:M
Other - Last Name:ANTONIOU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:HENRY FORD WYANDOTTE HOSPITAL, MEDICAL EDUCATION DEPT
Mailing Address - Street 2:2333 BIDDLE AVE.
Mailing Address - City:WYANDOTTE
Mailing Address - State:MI
Mailing Address - Zip Code:48192
Mailing Address - Country:US
Mailing Address - Phone:734-246-8004
Mailing Address - Fax:
Practice Address - Street 1:2333 BIDDLE AVE
Practice Address - Street 2:
Practice Address - City:WYANDOTTE
Practice Address - State:MI
Practice Address - Zip Code:48192-4668
Practice Address - Country:US
Practice Address - Phone:734-246-8004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-30
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4351046412207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine