Provider Demographics
NPI:1952414617
Name:RAPAPORT, SONIA (MD)
Entity type:Individual
Prefix:
First Name:SONIA
Middle Name:
Last Name:RAPAPORT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 S ESTES DR
Mailing Address - Street 2:SUITE 205D
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2868
Mailing Address - Country:US
Mailing Address - Phone:919-969-1414
Mailing Address - Fax:919-969-1415
Practice Address - Street 1:121 S ESTES DR
Practice Address - Street 2:SUITE 205D
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2868
Practice Address - Country:US
Practice Address - Phone:919-969-1414
Practice Address - Fax:919-969-1415
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9401297207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC9401297OtherLICENSE - NC
NC9401297Medicaid
NC66729OtherBCBS PROVIDER NUMBER
NCBP9547831OtherDEA - NC
NC9401297Medicaid
NC9401297OtherLICENSE - NC