Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CORNELIO RODERICK RUPERTO, MD
ActiveDR. CORNELIO RODERICK RUPERTO, MD is a Psychiatric Neurology healthcare provider located in LEWISVILLE, North Carolina. NPI 1316065204 is currently active in the NPPES registry. Verify at CMS.
Psychiatric Neurology · LEWISVILLE, NC
Registration Details
- NPI Number
- 1316065204
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 27, 2007 (19.430202037071 yrs)
- Last Updated
- Oct 25, 2020
- Licenses
-
2006-01732 (NC)2006-01732 (NC)
Practice Information
- Address
-
6620 SHALLOWFORD RDSUITE 200LEWISVILLE, NC, 270239504Browse NC providers · Browse ZIP 27023
- Phone
- 3369450345
- Fax
- 3369450342
- Primary Specialty
-
Psychiatric Neurology
2084P0804X
- Additional Specialty
- Psychiatric Neurology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.