Healthcare Provider Details

I. General information

NPI: 1902062839
Provider Name (Legal Business Name): RUPALI K NABAR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2008
Last Update Date: 10/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19582 BEACH BLVD STE 270
HUNTINGTON BEACH CA
92648-5924
US

IV. Provider business mailing address

PO BOX 15924
NEWPORT BEACH CA
92659-5924
US

V. Phone/Fax

Practice location:
  • Phone: 714-378-4920
  • Fax: 714-378-4922
Mailing address:
  • Phone: 714-378-4920
  • Fax: 714-378-4922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberA98523
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: