Gordon David Raphael, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

D28918 Issued in MD

Practice address

4915 Auburn Ave
Suite 202
Bethesda, MD 20814-2636

Phone

(301) 907-3442

Fax

(301) 907-6835

NPI assigned

Feb 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bethesda Allergy, Asthma, and Research Center, LLC

  • Allergy & Immunology Physician
  • Bethesda, MD
  • NPI 1417298209
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619003167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 AUBURN AVE",
            "address_2": "SUITE 202",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142636",
            "telephone_number": "301-907-3442",
            "fax_number": "301-907-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 AUBURN AVE",
            "address_2": "SUITE 202",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142636",
            "telephone_number": "301-907-3442",
            "fax_number": "301-907-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPHAEL",
        "first_name": "GORDON",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MD",
            "license": "D28918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Ranieri, CPNP
• Sheila Rao, PA
• Shruthi Balaji Rao
• Vemulkonda Koneti Rao, MD
• Diana Rapalo, CRNP
• Rapid Health Holdings LLC (InstantMD.com)
• Taylor Rapuano, LGPC
• Malika Rasheed, PT
• Marjohn Melody Rasooly, CRNP
• Craig Ratliff

• Allergy & Immunology Physician in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Allergy & Immunology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.