Individual
DEEPA JAPRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 B GALE WILSON BLVD, FAIRFIELD, CA 94533-3552
(707) 646-5000
Mailing address
5000 HOPYARD RD STE 100, PLEASANTON, CA 94588-3146
(925) 251-6948
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301096973
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301096973
BOARD OF MEDICINE PHYSICIAN EDUCATIONAL LIMITED LICENSE
MI
01
—
5315046350
BOARD OF PHARMACY CONTROLLED SUBSTANCE LICENSE
MI
Enumeration date
09/10/2010
Last updated
07/21/2022
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