Provider Demographics
NPI:1346329521
Name:HARIN, NIRUPA (MD)
Entity Type:Individual
Prefix:DR
First Name:NIRUPA
Middle Name:
Last Name:HARIN
Suffix:
Gender:F
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:PO BOX 422
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-0422
Mailing Address - Country:US
Mailing Address - Phone:718-921-9747
Mailing Address - Fax:
Practice Address - Street 1:699 92ND ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228-3619
Practice Address - Country:US
Practice Address - Phone:718-567-1245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2015-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1604912085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00917157Medicaid
NY0096241OtherGHI
NYN10320Other1199 NATIONAL BENEFIT FUN
NY187661OtherUNITED HEALTHCARE
NYA369324OtherOXFORD HEALTH PLANS
NYN10320Other1199 NATIONAL BENEFIT FUN
NY054D8810Medicare ID - Type Unspecified