# RAVEENA BAKHRU

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1275113755
- **Gender:** F
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | 20A22759 | CA | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 20A22759 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | SL1690 | NV | — |

## Other

- **Enumeration date:** 04/09/2021
- **Last updated:** 07/27/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | SL1690 | NEVADA STATE BOARD OF OSTEOPATHIC MEDICINE | NV |