Provider Demographics
NPI:1083492441
Name:KANSARA, DEEPSHIKHA (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:DEEPSHIKHA
Middle Name:
Last Name:KANSARA
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4444 CENTRAL AVE APT 103
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94536-5835
Mailing Address - Country:US
Mailing Address - Phone:619-419-8146
Mailing Address - Fax:
Practice Address - Street 1:1901 MONTEREY HWY STE 10
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95112-6126
Practice Address - Country:US
Practice Address - Phone:408-477-8080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist