Provider Demographics
NPI:1356309280
Name:RAPOPORT, AARON PAUL (MD)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:PAUL
Last Name:RAPOPORT
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:PO BOX 62602
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-2602
Mailing Address - Country:US
Mailing Address - Phone:410-328-1230
Mailing Address - Fax:410-328-1975
Practice Address - Street 1:22 S GREENE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1544
Practice Address - Country:US
Practice Address - Phone:410-328-1230
Practice Address - Fax:410-328-1975
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD52477207RH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD317600200Medicaid
DC026612800Medicaid
MD546974-01OtherBLUE CROSS/BLUE SHIELD
DE1000015029Medicaid
MD830005029Medicare PIN
DE1000015029Medicaid
DC026612800Medicaid