Provider Demographics
NPI:1790001170
Name:BADLANI, RUPA BALAPPA (MD)
Entity Type:Individual
Prefix:DR
First Name:RUPA
Middle Name:BALAPPA
Last Name:BADLANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:RUPA
Other - Middle Name:BALAPPA
Other - Last Name:PUGASHETTI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:360 POST ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-4912
Mailing Address - Country:US
Mailing Address - Phone:510-847-7916
Mailing Address - Fax:
Practice Address - Street 1:360 POST ST
Practice Address - Street 2:SUITE 400
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-4912
Practice Address - Country:US
Practice Address - Phone:415-217-3880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-11
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA120893207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology