1790001170 NPI number — DR. RUPA BALAPPA BADLANI M.D.

Table of content: DR. RUPA BALAPPA BADLANI M.D. (NPI 1790001170)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790001170 NPI number — DR. RUPA BALAPPA BADLANI M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BADLANI
Provider First Name:
RUPA
Provider Middle Name:
BALAPPA
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PUGASHETTI
Provider Other First Name:
RUPA
Provider Other Middle Name:
BALAPPA
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1790001170
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/10/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
360 POST ST
Provider Second Line Business Mailing Address:
SUITE 400
Provider Business Mailing Address City Name:
SAN FRANCISCO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94108-4912
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
510-847-7916
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
360 POST ST
Provider Second Line Business Practice Location Address:
SUITE 400
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94108-4912
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-217-3880
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/11/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207N00000X , with the licence number:  A120893 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)