Provider Demographics
NPI:1083920102
Name:BHOGAONKER, PRIYA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:PRIYA
Middle Name:
Last Name:BHOGAONKER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3043 MERIDIAN AVE # 85
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-2455
Mailing Address - Country:US
Mailing Address - Phone:415-846-9112
Mailing Address - Fax:
Practice Address - Street 1:2198 ANTHONY DR
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-2619
Practice Address - Country:US
Practice Address - Phone:415-846-9112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-26
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health