Basic Information
Provider Information
NPI: 1306135728
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TULPULE
FirstName: ASMIN
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD, PHD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9 CORTES ST APT 1
Address2:  
City: BOSTON
State: MA
PostalCode: 021165220
CountryCode: US
TelephoneNumber: 6176202948
FaxNumber:  
Practice Location
Address1: 505 PARNASSUS AVE # M691
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941432204
CountryCode: US
TelephoneNumber: 4154766245
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/06/2011
LastUpdateDate: 04/06/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  Y Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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