Provider Demographics
NPI:1124034715
Name:DAPRA, DAVID JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:JOSEPH
Last Name:DAPRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:236 W 6TH ST
Mailing Address - Street 2:#407
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-4532
Mailing Address - Country:US
Mailing Address - Phone:775-329-3168
Mailing Address - Fax:775-329-8586
Practice Address - Street 1:236 W 6TH ST
Practice Address - Street 2:#407
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-4532
Practice Address - Country:US
Practice Address - Phone:775-329-3168
Practice Address - Fax:775-329-8586
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV26232084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C95938Medicare UPIN