Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A97203 | CA |
Y | 2080P0205X | Pediatric Endocrinologist | A97203 | CA |
NPI | 1134275068 |
---|---|
Provider Name | Sonali Belapurkar |
First Address | Oakland, CA 94609-1809 |
Second Address | Oakland, CA 94609-1809 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2007 |
Last Update Date | 25/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A972030 | (05) | CA |
I69134 | (02) | CA |