Provider Demographics
NPI:1578514345
Name:RAUPP, MARK D (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:D
Last Name:RAUPP
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:120 CONNER DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-7092
Mailing Address - Country:US
Mailing Address - Phone:919-967-8130
Mailing Address - Fax:919-967-3627
Practice Address - Street 1:120 CONNER DR
Practice Address - Street 2:SUITE 200
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-7092
Practice Address - Country:US
Practice Address - Phone:919-967-8130
Practice Address - Fax:919-967-3627
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2009-12-21
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Provider Licenses
StateLicense IDTaxonomies
NC9701121207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
1194484OtherCIGNA
NC5902607Medicaid
5800687OtherAETNA
NC1076WOtherBCBS
1734976OtherUNITED HEALTHCARE
NC411708OtherWELLPATH
NC411708OtherWELLPATH
G16304Medicare UPIN