Provider Demographics
NPI:1043297930
Name:RAPAPORT, SEYMOUR ALVIN (MD)
Entity Type:Individual
Prefix:DR
First Name:SEYMOUR
Middle Name:ALVIN
Last Name:RAPAPORT
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 1:1050 CROOKED CREEK DR
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94024-6706
Mailing Address - Country:US
Mailing Address - Phone:650-967-1536
Mailing Address - Fax:
Practice Address - Street 1:500 E REMINGTON DR
Practice Address - Street 2:SUITE 20
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-2657
Practice Address - Country:US
Practice Address - Phone:408-245-4048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-30
Last Update Date:2008-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC26792174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C262921Medicare PIN