Provider Demographics
NPI:1700135357
Name:STEPHEN P RAPS MD PC
Entity type:Organization
Organization Name:STEPHEN P RAPS MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:P
Authorized Official - Last Name:RAPS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-380-1964
Mailing Address - Street 1:PO BOX 401406
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89140-1406
Mailing Address - Country:US
Mailing Address - Phone:702-380-1964
Mailing Address - Fax:702-850-0946
Practice Address - Street 1:9486 BELMONT BAY AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-3900
Practice Address - Country:US
Practice Address - Phone:702-380-1964
Practice Address - Fax:702-852-0946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-29
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVGN732AMedicare PIN