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Individual

RAFEL TAPPOUNI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1796 RIDGE OAKS DR, OAK RIDGE, NC 27310-8714
(813) 745-7365
(813) 449-8618
Mailing address
PO BOX 198441, ATLANTA, GA 30384-8441
(813) 745-7365
(813) 449-8618

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2012-00166
NC
2085R0202X
Diagnostic Radiology Physician
MD427572
PA
2085R0202X
Diagnostic Radiology Physician
ME129700
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1124085246
TRICARE
NC
01
1124085246
VIRGINIA MEDICAID
VA
05
1124085246
NC
01
185FN
BCBS
NC
01
2603716
UHC
NC
01
276988
MEDCOST
NC
01
7985796
AETNA
NC
01
P01333821
RAILROAD MEDICARE
NC
01
Q0016Q
SC MEDICAID
SC
Enumeration date
05/01/2006
Last updated
11/04/2024
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