NPI 1245524172 · live from the CMS NPI Registry
Elliot James Rapp, M.D.
Radiology, Diagnostic Radiology in Ketchikan, AK. National Provider Identifier 1245524172, active.
NPI record
| NPI | 1245524172 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 3100 Tongass Ave, Ketchikan, AK 99901 |
| Practice phone | 907-228-7644 |
| Mailing address | 1959 Ne Pacific St # Nw001, Box 357115, Seattle, WA 98195 |
| Enumerated | June 8, 2011 |
| Last updated | July 11, 2023 |
| Sole proprietor | No |
| Other names | E. Rapp |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 247742 (MA) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | 211438 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.