MEDICARE: DR. SEYMOUR ALVIN RAPAPORT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	C26792	CA

General Provider Information

NPI Number	:	1043297930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SEYMOUR ALVIN RAPAPORT M.D.

Provider Business Mailing Address
First Line	:	1050 CROOKED CREEK DR
Second Line	:
City	:	LOS ALTOS
State	:	CA
Zip	:	94024-6706
Country	:	US
Telephone Number	:	650-967-1536
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 E REMINGTON DR
Second Line	:	SUITE 20
City	:	SUNNYVALE
State	:	CA
Zip	:	94087-2657
Country	:	US
Telephone Number	:	408-245-4048
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/30/2005
Last Update Date	:	11/07/2008

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