Provider Demographics
NPI:1346267382
Name:RAPOPORT MD, ZHANNA (MD)
Entity Type:Individual
Prefix:DR
First Name:ZHANNA
Middle Name:
Last Name:RAPOPORT MD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7677 CENTER AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-3030
Mailing Address - Country:US
Mailing Address - Phone:949-892-3355
Mailing Address - Fax:949-272-0036
Practice Address - Street 1:7677 CENTER AVE STE 200
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-3030
Practice Address - Country:US
Practice Address - Phone:949-892-3355
Practice Address - Fax:949-272-0036
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG760352084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG02224Medicare UPIN