Provider Demographics
NPI:1205000270
Name:BAIDWAN, RUPINDER R
Entity Type:Individual
Prefix:MS
First Name:RUPINDER
Middle Name:R
Last Name:BAIDWAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:PINDER
Other - Middle Name:R
Other - Last Name:BAIDWAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MPT
Mailing Address - Street 1:1208 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-2557
Mailing Address - Country:US
Mailing Address - Phone:415-753-2553
Mailing Address - Fax:
Practice Address - Street 1:402 DEWEY BLVD
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94116-1425
Practice Address - Country:US
Practice Address - Phone:415-242-2444
Practice Address - Fax:415-242-0404
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-21
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA244132251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty