Healthcare Provider Details

I. General information

NPI: 1790001170
Provider Name (Legal Business Name): RUPA BALAPPA BADLANI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RUPA BALAPPA PUGASHETTI M.D.

II. Dates (important events)

Enumeration Date: 04/11/2010
Last Update Date: 01/10/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 POST ST SUITE 400
SAN FRANCISCO CA
94108-4912
US

IV. Provider business mailing address

360 POST ST SUITE 400
SAN FRANCISCO CA
94108-4912
US

V. Phone/Fax

Practice location:
  • Phone: 415-217-3880
  • Fax:
Mailing address:
  • Phone: 510-847-7916
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberA120893
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: