Provider Demographics
NPI:1861739450
Name:RAPAPORT, ALAN MARK (MD, MBA)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:MARK
Last Name:RAPAPORT
Suffix:
Gender:M
Credentials:MD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3676 S JERSEY ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-1136
Mailing Address - Country:US
Mailing Address - Phone:303-947-6977
Mailing Address - Fax:
Practice Address - Street 1:3676 S JERSEY ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-1136
Practice Address - Country:US
Practice Address - Phone:303-947-6977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO24592207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology