Individual provider · Type 1 NPI
Gordon Gary Koltis, MD
Radiation Oncology Physician · Apex, NC
NPI number
1508860545
Active
Practice location
519 Democracy Pl Fl 2
Apex, NC 27523-5793
Fax (919) 362-0717
Mailing address
PO Box 725
Apex, NC 27502-0725
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Therapeutic Radiology Physician | 2085R0203X | 247085 (WI) |
| Therapeutic Radiology Physician | 2085R0203X | MD-035235-E (PA) |
| Radiation Oncology Physician | 2085R0001X | G86259 (CA) |
| Radiation Oncology Physician | 2085R0001X | ME-0051462 (FL) |
| Radiation Oncology Physician Primary | 2085R0001X | 33390 (NC) |
Radiation Oncology Physician: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
About NPI 1508860545
Gordon Gary Koltis, MD's National Provider Identifier is 1508860545, issued on Jun 8, 2005. The primary taxonomy on file is Radiation Oncology Physician (2085R0001X), and the practice location is in Apex, NC. The record was last updated on Jan 15, 2026.