Individual
MUDIT DABRAL
Active
Individual
MUDIT DABRAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A40705
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A407050
BLUE SHIELD
CA
05
—
00A407050
—
CA
01
—
0480598
AETNA PIN
CA
01
—
1087
CMSP
CA
01
—
770154235 93454 A002
CHAMPUS TRICARE PIN
CA
Enumeration date
11/08/2006
Last updated
09/23/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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