Provider Demographics
NPI:1801914270
Name:DAS, MOUPALI (MD)
Entity type:Individual
Prefix:DR
First Name:MOUPALI
Middle Name:
Last Name:DAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6 ELIZABETH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-3015
Mailing Address - Country:US
Mailing Address - Phone:415-823-0050
Mailing Address - Fax:415-437-4693
Practice Address - Street 1:6 ELIZABETH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-3015
Practice Address - Country:US
Practice Address - Phone:415-823-0050
Practice Address - Fax:415-437-4693
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA91691207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA91691OtherMEDICAL LICENSE