Basic Information
Provider Information
NPI: 1558655050
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROPP
FirstName: ALAN
MiddleName: M.
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 9007
Address2:  
City: CHARLOTTESVILLE
State: VA
PostalCode: 229069007
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1215 LEE ST FL 1
Address2:  
City: CHARLOTTESVILLE
State: VA
PostalCode: 229081544
CountryCode: US
TelephoneNumber: 4349249400
FaxNumber: 4342436999
Other Information
ProviderEnumerationDate: 06/02/2011
LastUpdateDate: 08/02/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X248925MAN Allopathic & Osteopathic PhysiciansInternal Medicine 
2085R0202XD0079202MDN Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
2085R0202X0101261887VAY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

No ID Information.


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