Individual
DR. JOHN NICKOLAS PAPPAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12500 WILLOWBROOK RD, CUMBERLAND, MD 21502-6393
(240) 964-1036
(240) 964-1048
Mailing address
PO BOX 3206, LAVALE, MD 21504-3206
(240) 964-1046
(240) 964-1048
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
D61124
MD
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
D61124
MD
2085N0904X
Nuclear Radiology Physician
D61124
MD
2085R0202X
Diagnostic Radiology Physician
D61124
MD
2085R0204X
Vascular & Interventional Radiology Physician
Primary
D61124
MD
2085U0001X
Diagnostic Ultrasound Physician
D61124
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
394340201
—
MD
01
—
P00109544
RAILROAD MEDICARE
MD
Enumeration date
06/06/2006
Last updated
08/22/2024
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