Provider Demographics
NPI:1124071477
Name:RUPAREL, HARESH M (MD)
Entity type:Individual
Prefix:DR
First Name:HARESH
Middle Name:M
Last Name:RUPAREL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1072 S. DEANZA BLVD.
Mailing Address - Street 2:# 497
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95129
Mailing Address - Country:US
Mailing Address - Phone:408-295-2108
Mailing Address - Fax:510-445-0724
Practice Address - Street 1:1072 S. DEANZA BLVD.
Practice Address - Street 2:# 497
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95129-3500
Practice Address - Country:US
Practice Address - Phone:408-295-2108
Practice Address - Fax:510-445-0724
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2011-12-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAC42479207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA990008084OtherMEDICARE RAILROAD
CA990008084OtherMEDICARE RAILROAD
CAB42592Medicare UPIN