Provider Demographics
NPI:1225031388
Name:DUNBAR-GALLES, ARATI MALLIK (MD)
Entity Type:Individual
Prefix:DR
First Name:ARATI
Middle Name:MALLIK
Last Name:DUNBAR-GALLES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ARATI
Other - Middle Name:MALLIK
Other - Last Name:DUNBAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2900 WHIPPLE AVE,
Mailing Address - Street 2:STE. 210
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063
Mailing Address - Country:US
Mailing Address - Phone:650-365-5996
Mailing Address - Fax:650-364-3484
Practice Address - Street 1:2900 WHIPPLE AVE.
Practice Address - Street 2:STE. 210
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94062
Practice Address - Country:US
Practice Address - Phone:650-365-5996
Practice Address - Fax:650-364-3484
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-23
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG839420174400000X
CAG83942207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G839420Medicare ID - Type Unspecified
CAG65091Medicare UPIN