Provider Demographics
NPI:1679655732
Name:DUMAPIT, RUPERTO D JR (MD)
Entity type:Individual
Prefix:DR
First Name:RUPERTO
Middle Name:D
Last Name:DUMAPIT
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:922 VIRGINIA AVE
Mailing Address - Street 2:
Mailing Address - City:WELCH
Mailing Address - State:WV
Mailing Address - Zip Code:24801-2814
Mailing Address - Country:US
Mailing Address - Phone:304-436-8066
Mailing Address - Fax:304-436-2855
Practice Address - Street 1:922 VIRGINIA AVE
Practice Address - Street 2:
Practice Address - City:WELCH
Practice Address - State:WV
Practice Address - Zip Code:24801-2814
Practice Address - Country:US
Practice Address - Phone:304-436-8066
Practice Address - Fax:304-436-2855
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV13858208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV001809810OtherBCBS MOUNTAIN STATE
WV0050762000Medicaid
WVCM9038OtherMEDICARE RAILROAD
WV0050762000Medicaid
WV001809810OtherBCBS MOUNTAIN STATE