Provider Demographics
NPI:1942284781
Name:RANPARIA, DIPAK J (MD)
Entity Type:Individual
Prefix:DR
First Name:DIPAK
Middle Name:J
Last Name:RANPARIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:323 N PRAIRIE AVE
Mailing Address - Street 2:SUITE 114
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90301-4502
Mailing Address - Country:US
Mailing Address - Phone:310-674-9300
Mailing Address - Fax:310-674-9301
Practice Address - Street 1:323 N PRAIRIE AVE
Practice Address - Street 2:SUITE 114
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-4502
Practice Address - Country:US
Practice Address - Phone:310-674-9300
Practice Address - Fax:310-674-9301
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC549032085R0204X
TN354082085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3718587Medicaid
TN3791307Medicaid
TN3721492Medicaid
TN3791068Medicaid
TN3864337Medicaid
TN3791068Medicaid
TN3721492Medicaid
TN3718587Medicaid
G23792Medicare UPIN
TN3791307Medicaid
TN3791068Medicaid