Individual
CHINMAY ANIL SURPUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
2570 N 1ST ST STE 200, SAN JOSE, CA 95131-1037
(510) 698-2269
Mailing address
2570 N 1ST ST STE 200, SAN JOSE, CA 95131-1037
(510) 698-2269
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSB94029071
CA
Other
Enumeration date
12/24/2025
Last updated
12/24/2025
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