Provider Demographics
NPI:1033270335
Name:TIRUPATHI, HARITHA (DDS)
Entity Type:Individual
Prefix:DR
First Name:HARITHA
Middle Name:
Last Name:TIRUPATHI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9260 ALCOSTA BLVD STE A4
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-4132
Mailing Address - Country:US
Mailing Address - Phone:925-828-9422
Mailing Address - Fax:925-828-9488
Practice Address - Street 1:9260 ALCOSTA BLVD STE A4
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-4132
Practice Address - Country:US
Practice Address - Phone:925-828-9422
Practice Address - Fax:925-828-9488
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50003122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist