IndividualActive
Gordon Koltis, M.D.
NPI 1508860545 · Radiation Oncology Physician · Apex, NC
Provider details
- NPI number
- 1508860545
- Entity type
- Individual
- Primary specialty
- Radiation Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 247085 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
519 Democracy Pl Fl 2
Apex, NC 27523-5793
Phone: (252) 916-1778
Fax: (919) 362-0717
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 725
Apex, NC 27502-0725
Registry dates
- Enumerated
- 2005-06-08
- Last updated
- 2026-01-15
- Certified
- 2026-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.