Provider Demographics
NPI:1134275068
Name:BELAPURKAR, SONALI (MD)
Entity type:Individual
Prefix:
First Name:SONALI
Middle Name:
Last Name:BELAPURKAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:747 52ND ST
Mailing Address - Street 2:CHILDRENS HOSPITAL & RSRCH CTR OAKLAND, ENDOCRINOLOGY
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-1809
Mailing Address - Country:US
Mailing Address - Phone:510-428-3654
Mailing Address - Fax:510-450-5614
Practice Address - Street 1:747 52ND ST
Practice Address - Street 2:CHILDRENS HOSPITAL & RSRCH CTR OAKLAND, ENDOCRINOLOGY
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-1809
Practice Address - Country:US
Practice Address - Phone:510-428-3654
Practice Address - Fax:510-450-5614
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA97203208000000X, 2080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A972030Medicaid
CAI69134Medicare UPIN
CA00A972030Medicare ID - Type Unspecified