Provider Demographics
NPI:1144250184
Name:JAPRA, ROMESH K (MD)
Entity type:Individual
Prefix:
First Name:ROMESH
Middle Name:K
Last Name:JAPRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1860 MOWRY AVE
Mailing Address - Street 2:STE 200
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-1730
Mailing Address - Country:US
Mailing Address - Phone:510-790-2202
Mailing Address - Fax:510-790-2806
Practice Address - Street 1:1860 MOWRY AVE
Practice Address - Street 2:STE 200
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1730
Practice Address - Country:US
Practice Address - Phone:510-790-2202
Practice Address - Fax:510-790-2806
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2016-02-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA32218207RC0000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A322180Medicare ID - Type Unspecified
CAA87637Medicare UPIN