Individual
BHARAVI BRAHMBHATT VIJAYAKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2410 SAMARITAN DR STE 201, SAN JOSE, CA 95124-3909
(408) 371-5901
Mailing address
2410 SAMARITAN DR STE 201, SAN JOSE, CA 95124-3909
(408) 371-5901
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95011807
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP95011807
STATE MEDICAL LICENSE
CA
Enumeration date
08/09/2019
Last updated
08/05/2025
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