Provider Demographics
NPI:1922140961
Name:ORUP, HANS IVAN (MD)
Entity Type:Individual
Prefix:DR
First Name:HANS
Middle Name:IVAN
Last Name:ORUP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:HANS
Other - Middle Name:I
Other - Last Name:ORUP
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 35584
Mailing Address - Street 2:
Mailing Address - City:MONTE SERENO
Mailing Address - State:CA
Mailing Address - Zip Code:95030-0584
Mailing Address - Country:US
Mailing Address - Phone:408-354-7004
Mailing Address - Fax:408-354-8914
Practice Address - Street 1:18153 BANCROFT AVE
Practice Address - Street 2:
Practice Address - City:MONTE SERENO
Practice Address - State:CA
Practice Address - Zip Code:95030-4102
Practice Address - Country:US
Practice Address - Phone:408-354-7004
Practice Address - Fax:408-354-8914
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC21570207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology