Basic Information
Provider Information
NPI: 1679547897
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HALAPPA
FirstName: ARUNDATI
MiddleName: D
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 737 W CHILDS AVE
Address2:  
City: MERCED
State: CA
PostalCode: 953416805
CountryCode: US
TelephoneNumber: 2093846493
FaxNumber: 2093831296
Practice Location
Address1: 4150 PATTERSON ROAD
Address2:  
City: RIVERBANK
State: CA
PostalCode: 95367
CountryCode: US
TelephoneNumber: 2098633990
FaxNumber: 2098633999
Other Information
ProviderEnumerationDate: 02/14/2006
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XL0237TXN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000XA84222CAY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


Home