Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | C42479 | CA |
NPI | 1124071477 |
---|---|
Provider Name | Dr. Haresh M Ruparel |
First Address | San Jose, CA 95129 |
Second Address | San Jose, CA 95129-3500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2006 |
Last Update Date | 19/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
990008084 | MEDICARE RAILROAD (01) | CA |
B42592 | (02) | CA |