Provider Demographics
NPI:1679547897
Name:HALAPPA, ARUNDATI D (MD)
Entity type:Individual
Prefix:DR
First Name:ARUNDATI
Middle Name:D
Last Name:HALAPPA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:737 W CHILDS AVE
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95341-6805
Mailing Address - Country:US
Mailing Address - Phone:209-384-6493
Mailing Address - Fax:209-383-1296
Practice Address - Street 1:4150 PATTERSON ROAD
Practice Address - Street 2:
Practice Address - City:RIVERBANK
Practice Address - State:CA
Practice Address - Zip Code:95367
Practice Address - Country:US
Practice Address - Phone:209-863-3990
Practice Address - Fax:209-863-3999
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL0237207Q00000X
CAA84222207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A842220Medicare PIN
TXVAD000Medicare UPIN